This article is for medical providers caring for our members
Have you ever sent us a claim denial appeal and wonder when it will be processed? We process appeals in the order we receive them.
Since our representatives don’t give appeal status information over the phone, we offer two methods for learning about appeals we’re currently reviewing. This information is refreshed each business day and is intended to help you understand our timeframes.
|Visit our Administrative Reviews and Appeals page
|Call our Provider Service area and follow the prompts
Once your appeal is reviewed, we’ll notify you of our decision by letter, fax, or an adjusted Explanation of Benefits.