Request an External Review
FAQs
Effective October 1, 2019:
If you are requesting an Expedited External Review, your provider must complete and sign ATTACHMENT A: PHYSICIAN CERTIFICATION FORM and submit at the same time with the External Review (Print and Mail and Fax)Request Form. The online External Review Request form is for Standard External Review Requests only.
Request an External Review of a Denied Health Claim
What is an External Review?
External Review is a free service to help you if your insurance company has denied coverage of a medically necessary treatment. It is the last option for contesting an insurance company’s denial outside of the legal system and, in most cases, can be used after your attempts to gain coverage through the insurer’s own appeal process have been made but was unsuccessful.
We can be reached at 855-408-1212 (toll free).
To request a Standard External Review you must complete and submit an External Review Request Form.
Files
Consumer-Guide-To-External-Review_CHE1_SmPU.pdf
Consumer Guide To External Review
Share this page: