HARRISBURG — The Pennsylvania Insurance Department (PID) announced that, through the department’s independent external review process for Pennsylvanians who submit an eligible request, more than 100 Pennsylvanians successfully appealed denied claims.
The independent external review process continues to uphold the Shapiro Administration’s efforts to provide resources that protect Pennsylvanians and make state government more accessible for all Pennsylvanians via the new state website where the third-party review process can be accessed at no cost.
Pennsylvania Insurance Commissioner Michael Humphreys said, “With over half of denied claims being overturned by an independent reviewer, health insurers can do a better job of reviewing requests for services.”
The bipartisan Act 146 of 2022 brought the independent external review process to the state level, providing PID the ability to oversee the process for determination of eligibility for the review, communication with members, and assignment of the certified independent review organization.
