Is there a timeframe to file an external review?
Correct!
You have four months from the date you receive a denial notice to request external review. Your insurer will provide you with an external review request form, or you can obtain the form on the Department web site. Instructions for submitting the external review request are included on the form.
Please be sure to complete all required fields and sign the form. Your signature is required.
- If you want to appoint an authorized representative, including your health care provider, the external review paperwork includes a form for you to use.
- If you request expedited external review or you challenge a denial of an experimental or investigational medical treatment, there are additional pages in the external request that your physician must complete.
Incorrect!
You have four months from the date you receive a denial notice to request external review. Your insurer will provide you with an external review request form, or you can obtain the form on the Department web site. Instructions for submitting the external review request are included on the form.
Please be sure to complete all required fields and sign the form. Your signature is required.
- If you want to appoint an authorized representative, including your health care provider, the external review paperwork includes a form for you to use.
- If you request expedited external review or you challenge a denial of an experimental or investigational medical treatment, there are additional pages in the external request that your physician must complete.
