What Happens If The Hmo Denies My Claim For Payment Of Services?

The company must have an appeal process for you to follow. There is a first and second level appeal process in which you and your physician can present documentation showing your reasons for requesting the proposed treatment. Your appeal must be in writing and the insurance company has up to 30 days to complete an investigation on each level of grievance. You also have the right to contact the New Hampshire Department of Insurance anytime during this process. The toll free number for the New Hampshire Department of Insurance is 1­800­726­7390.

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