Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites.
Disputes and appeals
Information to guide you.
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.