Internal appeals | HealthCare.gov

internal appeals

There are 3 steps in the internal appeals process:

  1. You file a claim: A claim is a request for coverage. You or a health care provider will typically file a claim to be reimbursed for the costs of treatment or services.

    Reading: How to appeal insurance decision

  2. Your health plan denies the claim: Your insurer must notify you in writing and explain why:


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