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Please refer to the specific coverage information you receive after you enroll. We typically decide on requests for prior authorization for medical services within 72 hours of receiving an urgent request or within 15 days for non-urgent requests.
We must receive your formal appeal within 60 calendar days from the original remittance date or the date of the benefit determination letter. We will respond to your formal appeal within 45 calendar days of submission.
You have a limited amount of time to appeal a coverage decision. Youll need to submit your appeal: within 65 days of the date the unfavorable determination was issued or. within 65 days from the date of the denial of reimbursement request.
Go to UHCprovider.com/claims Submit a Claim Reconsideration / Begin Appeal Process. If your claim denial doesnt fall into one of these categories, submit your request form with additional supporting information.
Youll need to submit your appeal: within 65 days of the date the unfavorable determination was issued or. within 65 days from the date of the denial of reimbursement request.
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