Appeal

laura1125
on 9/5/06 9:24 am
Hi, This is a general question. For those of you that have filed an appeal with Blue Cross Blue Shield Carefirst POS how long did it take to get a response? Thanks, Donna
Leesa
on 9/5/06 8:34 pm - MD
Donna, I believe that health insurance companies have a specified period of time within which they must respond to an appeal filed in connection with a denial of benefits. Your plan's "Evidence of Coverage" documents should spell out the appeals process, including the time frame for them to respond once the appeal has been submitted. I believe there is a standard of 30-days. If your documents do not provide this information, call BCBS and if the CSR doesn't know, push to a higher level. Ultimately, if necessary, involve the Maryland Insurance Administration (they're located in Baltimore) if BCBS is non-responsive. Good luck.
robinsaxton
on 9/6/06 12:55 am - Columbia, MD
Hi Donna. I am sorry that I cannot help with your question. I did not have to go thru an appeal process. I wanted to suggest that you post your question on the main message board. They are great with responding to ?'s like this one. Best of luck to you! Robin
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