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.
- How to Appeal a Health Coverage Decision Made by Your Insurer
- Health Coverage Internal and External Review Processes Frequently Asked Questions
For more information about these processes, annual external review outcome summaries, and independent external review information for insurers and IROs, click here.
Those with questions about appealing their insurer's health coverage decisions can call the department's consumer hotline at 800-686-1526 or file a complaint to start an appeal.