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Determinations may be appealed in writing stating what and why you are appealing (why you think the decision made or action taken is wrong). Please include a copy of the notice or denial you received with your letter and be sure to include complete contact information for you and your representative (if you have one). Please submit your appeal online.

If you are a member in a managed care health plan, you must start the appeal process with you Managed Care Organization (MCO). See the MCO health plan contact information below.