• Table of
  Contents
• Introduction
   
• Step 1
   
• Step 2
   
• Step 3
   
• Step 4
   
• Tools
   

Table of Contents

• Introduction
• Where to start

• Step 1: Identify the source of your coverage and the issue

  • Where do you get your coverage?
  • What kind of denial did you receive?
  • Is your medical situation urgent?
  • Is your denial intentional or just a billing error?
  • What does your plan cover?

• Step 2: Preparing to appeal

  • Who regulates your health plan's appeals process?
  • What do you do if you have a bill because of a denial?
  • How do you prepare for an appeal?

• Step 3: Appeals process

  • Typical steps of an appeal
  • Successful appeals
  • Traits of unsuccessful appeals
  • Why consumers lose appeals

• Step 4: Winning your appeal

  • Tips for appeals

• Tools

  • Communications Log: Word |  PDF
  • Information Worksheet: Word |  PDF