Disputes & Appeals

Information to guide you

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The dispute process made simple

The dispute process allows you to disagree with a claim or utilization review decision.

Discover how and when to submit a dispute. Learn about the timeframe for appeals and reconsiderations. And find contact information for different issues.

Learn about the dispute process

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Medicare appeals

Learn about Medicare hospital discharge appeals, as well as non-participating provider payment appeals.

Learn more about Medicare appeals

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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 a Level 1 appeal?

See FAQs

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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
State exceptions to filing standard

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