3. What is an appeal? Posted on September 11, 2017 at 12:34 pm.Written by advantage_admin Appeal: The action you take if you do not agree with our determination to deny coverage or a payment request for health care services or prescription drugs. You may also file an appeal if you do not agree with our determination to cease the services you are receiving. For example, you may file an appeal if we refuse to pay for a prescription drug, item, or service you understand you should receive. Post navigation 2. How do I file an appeal?2. What is a grievance?
