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Dispute & Appeals Overview

Information to guide you

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The dispute process made simple

The dispute process allows you to disagree with a claim or utilization review decision.

Discover how and when to submit a dispute. Learn about the timeframe for appeals and reconsiderations. And find contact information for different issues.

Learn more about the dispute process
View our dispute process quick reference guide

42-15342459

Medicare appeals

Learn about Medicare hospital discharge appeals, as well as
non-participating provider payment appeals.

Learn more about Medicare appeals

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Have more questions?

Read our FAQs. We have answers to many questions, including:

  • What is a dispute?
  • What is the procedure for disputing a claim decision?
  • What is a reconsideration?
  • What is an appeal?

See frequently asked questions

 

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State-specific information

We have state-specific information about disputes and appeals. We also have a list of state exceptions to our 180-day filing standard. Exceptions apply to members covered under fully insured plans.

View state exceptions to the filing standard

Better health care, together

Allina Health and Aetna have partnered to transform the way you experience health care. Our plans are designed to offer members more personal, affordable and effective health care right in their community.

Together, we’re reinventing the health care system and helping members achieve their health goals.

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Health plans are offered, underwritten or administered by Allina Health and Aetna Insurance Company (Allina Health | Aetna). Allina Health l Aetna is an affiliate of Aetna Life Insurance Company and its affiliates (Aetna). Allina Health | Aetna has sole responsibility for its products and services. Aetna provides certain administrative services to Allina Health | Aetna.

Allina Health | Aetna is the brand name used for products and services provided by Allina Health and Aetna Insurance Company.

This material is for information only and is not an offer or invitation to contract. Health benefit plans contain exclusions and limitations. Providers are independent contractors and not our agents. Provider participation may change without notice. We do not provide care or guarantee access to health services. Not all health services are covered. See plan documents for a complete description of benefits, exclusions, limitations and conditions of coverage. Plan features and availability are subject to change and may vary by location. If you are in a plan that requires the selection of a primary care physician and your primary care physician is part of an integrated delivery system or physician group, your primary care physician will generally refer you to specialists and hospitals that are part of the delivery system or physician group. Information is believed to be accurate as of the production date; however, it is subject to change.

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Aetna is the brand name for Aetna Life Insurance Company and its affiliated companies. Allina Health and Aetna Insurance Company is an affiliate of Aetna Life Insurance Company and its affiliates (Aetna). Aetna provides certain administrative services for Allina Health and Aetna.

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You are now being redirected to www.allinahealth.org. Allina Health and Aetna Insurance Company (Allina Health | Aetna), a health insurer jointly owned by Allina Health and Aetna, will offer, underwrite or administer health insurance plans.

Aetna is the brand name for Aetna Life Insurance Company and its affiliated companies. Allina Health and Aetna Insurance Company is an affiliate of Aetna. Aetna provides certain administrative services for Allina Health and Aetna.

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