Appeals Process Reminder

There has been an increase in appeal requests submitted with incomplete or missing information. When this happens, a delay in processing that request results for both the member and provider. To reduce returned appeals and delays, please ensure appeals submitted include the following:

  • Appeals Form (filled out in its entirety), including specific reason for the appeal.
  • Relevant supporting documentation for the appeal.

Appeals submitted without the appeal form or supporting documentation may be subject to delays in processing, requests for additional information or the return of the appeal to the provider.