Is there more than one stage of the health claim appeal process?
Correct!
There are two stages to the process for appealing a health plan decision:
1. Internal appeal: If your claim is denied or your health insurance coverage is cancelled, you have the right to an internal appeal.
2. External review: For certain types of claims denials, after you have completed the internal appeal process, you have the right to request an external review by an independent third party.
Incorrect!
There are two stages to the process for appealing a health plan decision:
1. Internal appeal: If your claim is denied or your health insurance coverage is cancelled, you have the right to an internal appeal.
2. External review: For certain types of claims denials, after you have completed the internal appeal process, you have the right to request an external review by an independent third party.
