What if...?

Situations beyond a straightforward appeal — what to do about each one.

• The plan didn't answer by its own deadline
• The Independent Review Entity is overdue
• Your case is below the dollar amount required for the next level
• This is where a human often helps
• You're past the deadline to file
• The facility sent this bill to collections
• You missed the fast-appeal deadline
• You mentioned she also has Medicaid
• I have a concern about the quality of care, not a coverage decision
• I have a complaint about how the plan treated us, not about a coverage decision