What is the process for appealing a denied claim?

If your claim is denied by Blue Cross Blue Shield, you have the right to appeal the decision. To start the appeal process, you must submit a written request within a certain timeframe, along with any relevant documentation to support your appeal. The request will then be reviewed by a panel of medical professionals and experts who were not involved in the initial decision. Once a determination is made, you will be notified in writing of the outcome. If the appeal is denied, you may have the option to further escalate the appeal to an external, independent reviewer. It is important to carefully follow the instructions provided by Blue Cross Blue Shield during the appeal process to ensure a timely resolution.