Information to guide you
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.
Read our FAQs. We have answers to many questions, including:
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.