How to Appeal a Health Coverage Claim Denial

The Ohio Department of Insurance, with the assistance of the Academy of Medicine of Cleveland & Northern Ohio (AMCNO) developed a toolkit to help patients and physicians understand how to appeal a health coverage claim denial by an insurer.  The toolkit was developed after numerous ODI stakeholder meetings that the AMCNO participated in along with other associations, consumer advocates, businesses and insurance companies. These meetings were designed to find a way to assist patients when they wanted to appeal denials through independent review organizations, as well as to improve prompt pay for physicians.  For more information about the ODI and to view FAQ’s, click here.

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