Does anyone have experience in appealing with a self-funded plan?
My plastic surgeon's first request for predetermination was denied by UHC PPO. I recently sent in an appeal. However, I also recently learned that the plan is self-funded. I now know that complaining to the state insurance commissioner does no good when the plan is self-funded. You have to address your complaints to the federal government, specifically the Department of Labor at www.dol.gov. Anywho, I was wondering if anyone has tips on dealing with UHC PPO, self-funded, etc.? Many thanks, Anna
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