What is the process for appealing a denied claim?

If a claim is denied by UMR Health Benefits, members have the right to appeal the decision. The first step is to request a review of the denied claim within a specified timeframe. This process typically involves submitting additional documentation or information to support the claim. The appeal will be reviewed by a different team or committee within UMR to reassess the decision. Members will receive a written notification of the final decision on the appeal. It is important to carefully follow the appeal process outlined by UMR in order to have the best chance of a successful outcome.