Your right to appeal.
April 10, 2024
After getting a denial or refusal from your health plan, you or an authorized person have 180 days to appeal it. This appeal process is for situations like denied benefits, unpaid services, or canceled coverage —otherwise known as an Adverse Benefit Determination.
How to appeal
You may request an appeal by sending a written request to the following address:
Planstin Administration
ATTN: Claims/Appeals
1506 S. Silicon Way, Suite 2B
St. George, UT 84770
Please include the following information in your written request:
- Member Name & Date of Birth
- Member ID & Group Number
- Claim Number
- Date of Service
- Name of Provider
- Reason for Appeal
During the appeal process, all comments, documents, and information related to your claim will be reconsidered, regardless of whether they were looked at before. The review will be handled by a new decision-maker from the plan, who wasn't involved in the original denial. This ensures an unbiased, fresh review of your appeal.
Learn More
- Read more about your appeal rights here.
- To learn more about the appeal process, visit planstin.com/for-providers.
- Questions about your coverage? Contact a Benefit Advocate at 888-920-7526.
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