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April 24, 2012 : Mary's Views

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Appeals

Appeal Righttm

Let Benefit Advocates help navigate a health plan's grievance processes. This takes time, patience and experienced insight. Benefit Advocates' high touch processes take away the stress of grievances and appeals. Each dispute is handled by a single advocate on the Benefit Advocates' team. Whether it takes one phone call or 100, he or she works from start to finish for as long as it takes to:

  • Correctly diagnose the coverage issue
  • Conduct a health plan review
  • Negotiate with providers and health plans on behalf of an employee
  • Prepare informal and formal appeals
  • Resolve the dispute
  • Explain the outcome to the employee