Parity Toolkit for Addiction & Mental Health Consumers, Providers & Advocates. Simplifying the appeals process: strategies for winning disputes with your health plan
-
-
The toolkit* is designed to be a resource in how to better communicate with plans; how to ably prepare and document information should disputes arise with a health plan over coverage or reimbursement; and how to better understand your basic appeals rights and procedures.
-
-
Note that each plan has its own appeals policies and procedures. A plan participant must become informed about his or her own plan’s appeals process and reviewing plan documents is a crucial first step.
-
-
Note as well that the information included in this toolkit is meant to be helpful, but should not substitute for legal counsel.
-
-
We may update the toolkit as regulations are clarified and additional FAQs made available.
*You will need Adobe Acrobat to view the toolkit.