Form FIS2356 No-Fault Utilization Review Provider Appeal Request - Michigan

What Is Form FIS2356?

This is a legal form that was released by the Michigan Department of Insurance and Financial Services - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form FIS2356?
A: Form FIS2356 is the No-Fault Utilization Review Provider Appeal Request form used in Michigan.

Q: What is a No-Fault Utilization Review Provider Appeal Request?
A: A No-Fault Utilization Review Provider Appeal Request is a formal request to appeal a decision made by a utilization review provider in Michigan.

Q: Who can use Form FIS2356?
A: Form FIS2356 can be used by healthcare providers who are appealing the decision made by a utilization review provider in Michigan.

Q: What information is required on Form FIS2356?
A: Form FIS2356 requires information such as the healthcare provider's name, contact information, and details of the utilization review decision being appealed.

Q: How do I submit Form FIS2356?
A: Form FIS2356 can be submitted via mail or fax to the Michigan Department of Insurance and Financial Services.

Q: What happens after submitting Form FIS2356?
A: After submitting Form FIS2356, the appeal request will be reviewed by the Michigan Department of Insurance and Financial Services and a decision will be made.

Q: Is there a deadline for submitting Form FIS2356?
A: Yes, there is a deadline for submitting Form FIS2356. The deadline is typically specified in the decision being appealed or by the insurance company.

Q: Can I appeal the decision again if my appeal is denied?
A: Yes, if your appeal is denied, you may have the option to further appeal the decision through other channels such as the courts.

Q: Is there a cost for submitting Form FIS2356?
A: There is no cost for submitting Form FIS2356, but there may be other costs involved in the appeal process, such as legal fees.