Appeal
Leesa
on 9/5/06 8:34 pm - MD
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.