Timeframe Is Returning to Normal for Provider Appeals
In the spring of 2020, the Department of Labor (DOL) issued a notice to health plans and administrators that filing periods for appeals or external reviews would be extended through the National Emergency (COVID-19 pandemic). The DOL’s guidance applies to ERISA plans and member and member authorized representative-filed appeals. In partnership with our providers and in service to our members, we applied this extension to provider appeals as well.
What’s Changing: Effective Sept. 1, 2022, provider-filed appeals will return to normal processing timelines. There will be no change to member and member authorized representative-filed appeals at this time.
