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CLAIMS AND APPEALS

Post-Service Claim

  • One-Level Appeals Procedure: You will be sent a notice of decision on review within 60 days of receipt of the appeal.
  • Two-Level Appeals Procedure: You will receive a notice of decision on review within 30 days of receipt of the appeal.

If you are dissatisfied with the outcome of your first appeal, you may file another appeal with the applicable Claim Administrator within 180 calendar days from the date on the notice of the letter denying your first appeal. You will be sent a notice of decision on review of your second appeal within 30 days from receipt of the second appeal.

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