Sample Table 4: Review & Appeals

How Many Internal UM Appeal Levels?

Timeframe For Initial Determination

Notice Of Appeal Rights

Timeframe Standard Appeal

Timeframe

Expedited Appeal

Extension Option

Final Notification Provision

External Review

Provision

Georgia

x

60 days

x

Iowa

60 days

x

x

Kansas

2

x

15 days (P)

30 days (R)

72 hours (if involves emergency situation)

x

x

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