Guidelines - 5.11 Sharing Appeal

5.11.1. Sharing Decisions

If you disagree with a bill-sharing eligibility decision, you may 
appeal if you believe:

• REDEEM HealthShare misread the medical records.

• REDEEM HealthShare misapplied the Guidelines.

• Your provider incorrectly recorded your medical history.

• The Guidelines do not address your situation.

REDEEM HealthShare will review the appeal. If you disagree with 
the decision, you have 90 days to request a review by a member 
Appeal Panel, involving 7 to 13 REDEEM HealthShare members. As 
part of this process, you will submit a written position statement to 
the Appeal Panel. REDEEM HealthShare will hold a teleconference 
wherein the Appeal Panel asks both you and REDEEM HealthShare 
questions. A simple majority vote will carry the decision whether 
to share the bill related to your appeal. The panel’s decision will be 
binding and non-appealable.

5.11.2. All Other Issues

You must settle all other issues in accordance with the Rules of 
Procedure for Christian Conciliation® of the Institute for Christian 
Conciliation. For rules, seewww.aorhope.org/rules or contact ICC 
at icc@aorhope.org. However, if both REDEEM HealthShare Ministry 
and you agree, you will submit the dispute to a randomly selected 
panel of members instead. In all events, you will have available the 
same relief as a court could grant. REDEEM HealthShare will pay all 
the arbitrator’s fees and costs unless the arbitration determines 
there was no reasonable basis for your complaint, in which case 
you will be responsible for the fees and costs. 

You understand that these sharing appeal methods will be the 
sole remedy for any civil controversy or claim arising out of your 
relationship with REDEEM HealthShare and expressly waive your 
right to file a lawsuit in any civil court against REDEEM HealthShare 
Ministry, its employees, members, associate members, and 
directors, for such disputes, except to enforce an arbitration 
decision obtained under conditions specified herein. This also 
includes deciding whether the dispute is part of this arbitration 
agreement or whether it must go through arbitration. Judgment 
upon an arbitration decision may be entered in any court 
otherwise having jurisdiction.

Resolving disputes within the Body of Christ is always the 
command of Scripture and in the interest of you and all members 
(Matthew 18:15-20; 1 Corinthians 6). Therefore, even if REDEEM 
HealthShare or you participate in a court proceeding about a 
dispute, neither give up their right to later demand arbitration to 
resolve the dispute.

For all civil matters of procedure and substance regarding any 
dispute or claim that comes within these mediation or arbitration 
requirements, the laws of the State of Illinois, and if applicable of 
the United States, will govern.