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Federal External Review Process Home

The Federal External Review Process administered for the U.S. Department of Health and Human Services (HHS) is being implemented by MAXIMUS Federal Services, Inc.. This is referred to as the HHS-Administered Federal External Review Process. The Affordable Care Act requires many health plans to meet basic standards regarding internal and external review processes. Consumers now have rights to appeal health insurance plan decisions – to ask that health plans reconsider decisions to deny payment fo

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Federal External Review Process Home | hhs-ferp.com Reviews
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The Federal External Review Process administered for the U.S. Department of Health and Human Services (HHS) is being implemented by MAXIMUS Federal Services, Inc.. This is referred to as the HHS-Administered Federal External Review Process. The Affordable Care Act requires many health plans to meet basic standards regarding internal and external review processes. Consumers now have rights to appeal health insurance plan decisions – to ask that health plans reconsider decisions to deny payment fo
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1 Appeal
2 health insurance claims
3 health plan decisions
4 Appealing denials
5 How to appeal a decision by your health plan
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7 health insurance company
8 insurance denies
9 Right to appeal health plan denials
10 appeal rights
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Federal External Review Process Home | hhs-ferp.com Reviews

https://hhs-ferp.com

The Federal External Review Process administered for the U.S. Department of Health and Human Services (HHS) is being implemented by MAXIMUS Federal Services, Inc.. This is referred to as the HHS-Administered Federal External Review Process. The Affordable Care Act requires many health plans to meet basic standards regarding internal and external review processes. Consumers now have rights to appeal health insurance plan decisions – to ask that health plans reconsider decisions to deny payment fo

INTERNAL PAGES

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1

MAXIMUS > Forms

http://www.hhs-ferp.com/Forms.aspx

About the Review Process. For health insurance companies (issuers). For persons requesting a review (claimants). HHS Federal External Review Request Form. Please use this form to provide general information on your request for an external review:. HHS-Administered Federal External Review Request Form. HHS Federal External Review Process Appointment of Representative Form. Appointment of Representative Form.

2

MAXIMUS > Am I Eligible?

http://www.hhs-ferp.com/AmIEligible.aspx

About the Review Process. For health insurance companies (issuers). For persons requesting a review (claimants). Am I eligible for a review? Under the Affordable Care Act, health insurance issuers in certain States (which have not met minimum consumer protections in their external review process) may choose either: the HHS-administered federal external review process or they may contract with accredited independent review organizations to review external appeals on their behalf. To find out if your plan ...

3

MAXIMUS > External Reviews > Expedited External Review

http://www.hhs-ferp.com/ExternalReviews/ExpeditedExternalReview.aspx

About the Review Process. For health insurance companies (issuers). For persons requesting a review (claimants). In some cases, a person may ask for an expedited (faster than usual) external review. An expedited review may be requested when:. 1 The person has asked for an expedited internal appeal and wants an expedited external review at the same time, and. The timeframe for an expedited internal appeal (72 hours) would place the person’s life, health or ability to regain maximum function in danger.

4

MAXIMUS > About Us

http://www.hhs-ferp.com//AboutUs.aspx

About the Review Process. For health insurance companies (issuers). For persons requesting a review (claimants). MAXIMUS Federal Service conducts independent reviews of appeals of denied health insurance claims. The US. Office of Personnel Management (OPM) and the U.S. Department of Health and Human Services (HHS) contracted with us to operate the HHS-Administered Federal External Review Process. MAXIMUS Federal Services, Inc. does external reviews for:. MAXIMUS Federal Services is part of MAXIMUS, a com...

5

MAXIMUS > About the Review Process

http://www.hhs-ferp.com/AbouttheReviewProcess.aspx

About the Review Process. For health insurance companies (issuers). For persons requesting a review (claimants). The Federal External Review Process allows for an independent, outside review of adverse benefit decisions by health plans. Adverse benefit decisions mean the plan decided against your request to authorize care or they refuse to pay for services already performed. Consumers or their authorized representatives (sometimes called. Have the right to ask for an. Faster than usual) external review.

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