Can I appeal a claim?
You always have the right to appeal a determination within 45 calendar days of either a payment receipt or a denial notification.
All appeals of claim denials that result from authorization or medical management issues should refer to section 7.15 of the Provider Manual.
![Headshot of a woman](https://metroplus.org/wp-content/uploads/2022/09/morshedf_MPH_Web_Headshot_8-30-scaled-150x150-c-default.jpg)
![Headshot of a woman](https://metroplus.org/wp-content/uploads/2022/09/liulu_MPH_Web_Headshot_8-29-scaled-150x150-c-default.jpg)
![Headshot of a man](https://metroplus.org/wp-content/uploads/2022/09/santic_MPH_Web_Headshot_8-30-150x150-c-default.jpg)
![Headshot of a man](https://metroplus.org/wp-content/uploads/2022/09/marshgu_MPH_Web_Headshot_8-29-scaled-150x150-c-default.jpg)
![Headshot of a woman](https://metroplus.org/wp-content/uploads/2022/09/lugocl-_MPH_Web_Headshot_8-29-scaled-150x150-c-default.jpg)
Speak To Someone In Your Community
Find someone in your neighborhood and in your language