If you are not satisfied with how a claim was handled, if it wasn’t paid as you thought it should have been, or if it was denied, you do have the right to file an appeal.
Sometimes you can call your health insurance company to start the appeal. However, it’s often best to file a written, formal appeal. In your appeal, include you group and individual ID number, your name, address, phone number, specific dates and dollar amounts. Explain exactly why you believe your claim was paid incorrectly and attach supporting documents such as bills etc…
Here is the address and phone number for appealing claims for each major health insurance company that offer plans in Utah.
- Aetna- Attn: Appeal Dept., 151 Farmington Avenue, Hartford, CT 06156. Phone: (860) 273-0123.
- Altius Health Plans – Attn: Claims Appeals, P.O. Box 7147, London, KY 40742. Phone: 800-377-4161.
- Assurant Health – Appeals Dept., One Chase Manhattan Plaza
New York, NY 10005. Phone: 800-553-7654. - HumanaOne (Individual) – Attn: Claims Appeals, 500 West Main Street, Louisville, KY 40202. Phone: 800-448-6262.
- Humana (Group) – Attn: Claims Appeals, 500 West Main Street, Louisville, KY 40202. Phone: 800-448-6262.
- Regence Blue Cross Blue Shield of Utah – Attn: Appeals Dept, 2890 E Cottonwood Parkway, Salt Lake City, UT 84125-0956. Phone: 801-333-2100.
- SelectHealth – Attn: Appeals Dept, PO BOX 30192, Salt Lake City, UT 84130-0192. Phone: 801-442-4684.
- United HealthCare – Attn: Appeals Dept, 2525 Lake Park Blvd , Salt Lake City , UT 84120 . Phone: 800-624-2942.
Once you submit your appeal, be sure to call and follow up on a regular basis until your appeal has been processed and a decision has been made.
I’m sure there are companies out there that can assist people in filing an appeal. If your case is serious and there is a lot of ground to cover or high stakes involved. That’s my advice.