At some point in your membership, you may disagree with a decision regarding the eligibility of a bill. You can appeal the decision if you feel the:
- Ministry misread the medical records.
- Ministry misapplied the guidelines.
- Providers incorrectly record your medical history.
If after the initial review, you still disagree with the decision, you have 90 days to request a review by a Member Appeal Panel established by REDEEM HealthShare Ministry.
Member Appeal Panel
The member appeal panel consists of seven to 13 members. You may submit a written position statement to the panel. The Ministry will schedule a teleconference so the panel can ask questions to both you and REDEEM. A simple majority vote by the panel determines the final decision.