To Appeal A Treatment Denial Insist that your provider help you to appeal. Make sure your provider requests a special, expedited appeal for emergencies. Confirm with your insurance company that your services will be covered during your appeal. Request, or have your provider request, written notification of the reasons for denial. Make sure that you and your provider meet all deadlines.
Most insurance companies have several levels of appeal.
Request an appeal review by someone who is not employed by the insurance company. Seek help from an ombudsman program or your employer s Human Resources department, if applicable. Make alternative treatment plans in case additional appeals are not successful. How To Overturn Managed Care Treatment Denials , or contact your local Mental Health Association .