Page last updated on: 3/11/25
What happens next
Our review process
- A group of Priority Health employees who are experienced in coverage issues informally reviews your request.
- If they can't resolve it to your satisfaction, they send your appeal to the Priority Health Grievance Committee.
- The Grievance Committee includes Priority Health employees and a medical doctor, none of whom were involved in the initial decision we made or work directly for someone who made that initial decision. They make a decision about your appeal. The decision may be all or partly in your favor, or all against you.
- The Committee sends you a letter summarizing its findings and decision within 5 days after the committee meeting. We also call you.