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If you disagree with a BCBSND benefits inquiry determination, you may appeal the decision.
Need to request an appeal of a benefit determination?
3 types of benefits appeals
1. Pre-service claim for benefits appeal—can be either verbal or written
2. Retrospective review claim for benefits appeals—can be either verbal or written
3. Post-service claim for benefits appeals—must be written
Appeal process guidelines for providers
More information regarding Appeals can be found in the Provider Manual.
How to file an appeal