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.
For more information about these processes, annual external review outcome summaries, and independent external review information for insurers and IROs, click here.