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Understanding the Health Coverage and External Review Appeals Processes

The Ohio Department of Insurance has created this on-line toolkit to help consumers and medical providers understand the process by which they can appeal a health coverage claim denial made by their insurer after the appeals process with the insurer has been exhausted. The toolkit contains a helpful flowchart, articles, and answers to frequently asked questions. Those with questions about appealing their insurer's health coverage decisions can call the Department's consumer hotline at 1-800-686-1526. Click here to file a complaint to start an appeal.

Appeal Flowchart

Articles

FAQs


The State of Ohio is an Equal Opportunity Employer

Ohio Department of Insurance
50 W. Town Street, Third Floor - Suite 300
Columbus, Ohio  43215
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John Kasich, Governor | Mary Taylor, Lt. Governor / Director
General Info: 614-644-2658 | Consumer Hotline: 800-686-1526
Fraud Hotline: 800-686-1527 | OSHIIP Hotline: 800-686-1578