Dispute & Appeals
Information to guide you
The dispute process made simple
The dispute process allows you to disagree with a claim or utilization review decision. Discover how and when to submit a dispute. Learn about the timeframe for appeals and reconsiderations. And find contact information for different issues.
Learn more about the dispute process
View our dispute process quick reference guide
Medicare appeals
Learn about Medicare hospital discharge appeals, as well as
non-participating provider payment appeals.
Have more questions?
Read our FAQs. We have answers to many questions, including:
- What is a dispute?
- What is the procedure for disputing a claim decision?
- What is a reconsideration?
- What is an appeal?
State-specific information
We have state-specific information about disputes and appeals. We also have a list of state exceptions to our 180-day filing standard. Exceptions apply to members covered under fully insured plans.
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