CSHCN 2009 > Appeals and Administrative Review > Appeals

7.1 Appeals

An appeal is a request for reconsideration of a previous denial.

Providers may request an appeal if a denial is received for any of the following:

•Authorization or prior authorizations

•Claims

•Provider enrollment

Refer to: Chapter 4, "Authorizations and Prior Authorizations" for additional information regarding the appeals process for authorization and prior authorization denials.

Chapter 5, "Claims Filing, Third-Party Resources, and Reimbursement" for additional information.

Chapter 2, "Provider Enrollment" for additional information.