What is the process for appealing a denied claim?

If your claim is denied by Fallon Community Healthcare, you have the right to appeal the decision. The first step is to request a review of the denial within a specified time frame. This can typically be done by submitting a written appeal that includes any relevant documentation to support your case. Your appeal will then be reviewed by a different department or independent review organization. If the denial is upheld, you may have the option to request a second level of review. It is important to carefully follow the instructions provided by Fallon Community Healthcare to ensure your appeal is processed in a timely manner.