Disputes & Appeals
Information to guide you
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.
Medicare appeals
Learn about Medicare hospital discharge appeals, as well as non-participating 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 a Level 1 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
State exceptions to filing standard
News
