Non-Medicare claims reviews & appeals
Commercial
You must wait 45 days after submitting a claim to request a review, and you must use the review process before you can file an appeal.
Medicaid
For the most part, reviews and appeals under Medicaid follow our process for commercial plan reviews and appeals, with the addition of the binding arbitration process.
What makes a good appeal?
Our Reimbursement team shares what you can and can't appeal, what to include in your appeal, how to request reviews for multiple claims and more.
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