Independent Review Request - Utah

Independent Review Request is a legal document that was released by the Utah Insurance Department - a government authority operating within Utah.

FAQ

Q: What is an Independent Review Request?A: An Independent Review Request is a process for appealing health insurance denials and decisions.

Q: Who can submit an Independent Review Request in Utah?A: Any insured individual or their authorized representative can submit an Independent Review Request in Utah.

Q: What types of denials can be appealed through an Independent Review Request?A: Any denial or decision by a health insurance company regarding the medical necessity, appropriateness, or quality of care can be appealed.

Q: Is there a deadline for submitting an Independent Review Request in Utah?A: Yes, you must submit an Independent Review Request within 30 days of receiving the denial or decision from your health insurance company.

Q: Who conducts the Independent Review in Utah?A: Independent reviews in Utah are conducted by third-party reviewers selected by the Utah Insurance Department.

Q: What happens after an Independent Review Request is submitted?A: After submitting an Independent Review Request, you will receive a written decision from the reviewer within a specified timeframe.

Q: Is the decision of the Independent Review binding?A: Yes, the decision of the Independent Review is binding on the health insurance company, but not on the insured individual.

Q: Can I seek legal assistance during the Independent Review process?A: Yes, you have the right to seek legal assistance or representation during the Independent Review process in Utah.

Q: Can I file a complaint if I believe the Independent Review was not conducted properly?A: Yes, you can file a complaint with the Utah Insurance Department if you believe the Independent Review was not conducted properly.