Administration Delaying Some Rules For Appealing Health Insurance Denials

The Obama Administration has put some delays on the enforcement of some new rules designed to protect patients who appeal insurers’ decisions to deny or reduce health care benefits until next January.
Some of the rules already on hold:

-A reduction in the amount of time an insurance company is allowed to review a denial of coverage in urgent cases, from no more than 72 hours to 24 hours.

–A requirement that insurers provide information about the denial and how to appeal in appropriate language for non-English speaking beneficiaries.

–A requirement that insurers must provide consumers with specific details, which would include diagnostic codes used by doctors, hospitals and insurers, about what treatment isn’t covered and why.

Read the full article for more information at http://www.kaiserhealthnews.org/Stories/2011/March/25/appeals-delay.aspx

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