Appeal Process

Should there arise a situation of dissatisfaction, the following actions may be taken to attempt resolution:

• Discuss the situation with your Primary Care Physician.



• Discuss the situation with Managed Health Care’s Administrator at 773-271-0880. The Administrator can help with member issues or concerns that cannot be resolved through normal channels.



• You have the right to Appeal any payment or denial of covered services by contacting:

• Following an adverse determination for a clinical service, procedure, or treatment that is not reviewed as medically necessary, any involved party may request an external independent review.

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