alexa48
Mar 19 2004, 09:20 AM
The company administering our health claims, does the 1st level of appeal
Our company does the 2nd level of appeal
Our Health Plan SPD also indicates a vountary arbitration process addiitonally
Is a 2nd level of appeal allowed by Company or must this arbitration process be the 2nd level of appeal
woudl anyone have language they could share on the 2nd level review process to put in an SPD
thanks
llerner
Mar 19 2004, 12:39 PM
It is important to know what state you are talking about as well. The company headquarter state if the health plan is an out of state plan, and the state if it is different in which the appeal is filed to see if there are any specific regulatory bodies.
alexa48
Mar 23 2004, 04:53 PM
state is VA, which is headquarters with 1 other work location in PA
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