Carefirst maryland mailing address

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If you want to file an appeal you have to file it within 90 days for a Level I Appeal, from the date that you received the letter saying that we would not cover the service you wanted; and 15 days for a Level II Appeal, from the date on the Level I Appeal outcome letter.

You may file your appeal in writing. We have a simple form you can use to file your appeal. Please call Member Services at or to get one. We will mail or fax the appeal form to you and provide assistance if you need help completing it.

This form can also be found on our website at www. Owings Mills, MD Your doctor can also file an appeal for you if you sign a form giving him or her permission. Other people can also help you file an appeal, like a family member or a lawyer, when they file a form i.

When you file an appeal, be sure to let us know any new information that you have that will help us make our decision. We will send you a letter letting you know that we received your appeal within 5 business days of receipt in the company. While your appeal is being reviewed, you can still send or deliver any additional information that you think will help us make our decision. The appeal process may take up to 44 days if you ask for more time to submit information or we need to get additional information from other sources.

We will send you a letter if we need additional information. If your doctor or CareFirst CHPMD feels that your appeal should be reviewed quickly due to the seriousness of your condition, this is called an expedited appeal.

You will receive a decision about your appeal within 72 hours. When you ask for an expedited appeal, you may do so by calling us, or asking us in writing. If we do not feel that your appeal needs to be reviewed quickly, we will try to call you and send you a letter letting you know that your appeal will be reviewed within 30 days.

If your appeal is about a service that was already authorized and you were already receiving, you may be able to keep getting the service while we review your appeal. With more than locations, including eleven community hospitals and two specialty hospitals from the Eastern Shore to central and southern Maryland, the care you need is right were you need it — close to home. All of this is connected with the University of Maryland Medical Center where discoveries are bringing new treatments to the people of Maryland and beyond.

So you are powerfully aligned with the innovative health care only university-based medicine has to offer. By putting greater care within reach, everyone in Maryland has everything they need to live better. The University of Maryland Medical System — be a part of something greater.