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Understanding Health Coverage and External Review Appeals Processes
Understanding Health Coverage and External Review Appeals Processes

The Ohio Department of Insurance has created this on-line toolkit to help consumers and medical providers understand the process by which they can appeal a health coverage claim denial made by their insurer after the appeals process with the insurer has been exhausted. The toolkit contains a helpful flowchart, articles, and answers to frequently asked questions. Those with questions about appealing their insurer's health coverage decisions can call the department's consumer hotline at 1-800-686-1526 or file a complaint to start an appeal.


Appeal Flowchart:


Articles:


FAQs:

  
For more information about these processes, annual external review outcome summaries, and independent external review information for insurers and IROs, click here.