Question
Are there timing requirements for internal appeals?
Yes Answer
Correct!
Insurers must give consumers notice of their right to appeal a denied claim. You must file your internal appeal within 180 days (6 months) of receiving notice that your claim was denied. If you have an urgent health situation, you can ask for an external review at the same time as your internal appeal.
No Answer
Incorrect!
Insurers must give consumers notice of their right to appeal a denied claim. You must file your internal appeal within 180 days (6 months) of receiving notice that your claim was denied. If you have an urgent health situation, you can ask for an external review at the same time as your internal appeal.
