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The dispute process made easy
The dispute process made easy
You may disagree with a claim or utilization review decision. Discover how to submit a dispute. Learn about the timeframe for appeals and reconsiderations. And find contact information.

Medicare appeals

Medicare appeals
Learn about Medicare hospital discharge appeals, as well as nonparticipating provider payment appeals.
Have more questions?
Read our FAQs. We have answers to many questions, including:
- What is a dispute?
- What is the procedure for disputing a claim decision?
- What is a reconsideration?
- What is an appeal?
State-specific information
We have state-specific information about disputes and appeals. We also have a list of state exceptions to our 180-day filing standard. Exceptions apply to members covered under fully insured plans.
State-specific forms about disputes and appeals
Legal notices
Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna).
Health benefits and health insurance plans contain exclusions and limitations.