Pennsylvania Unveils Website Where Pennsylvanians May Appeal Denied Health Plan Services

Pennsylvania’s insurance and digital services agency announced a new website where Pennsylvanians can request independent, external reviews of denied health insurance claims. The state-specific standards went into effect on Jan. 1, 2024, as part of Act 146 that was passed into law in 2022. When coverage for a service is denied, and after consumers complete the internal appeal process with their insurer, they may submit a request to the Pennsylvania Insurance Department using a new website developed by the Commonwealth Office of Digital Experience (CODE PA) for an independent external review to be completed by a certified independent review organization detailing why a service, treatment, or benefit should be covered by their health plan. Click here to learn more.