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Agencies Postpone Claims and Appeals Enforcement
The Employee Benefits Security Administration (EBSA), U.S. Department of Health and Human Services (HHS), the U.S. Treasury Department, Treasury Department agencies and the Labor Department have postpone the claims appeal process of the health care reform. They are stating they are having problems form a technical standpoint. If you look at all of these agencies that are involved there is no wonder why they are having problems with this aspect of the new law.
The appeal process in a nut shell is the ability for an insured to appeal a claim that was declined in person with some type of board. So an good example of this would be on experimental therapy. The insurance company could decline the claim because its considered experimental. With the new health care law anyone could appeal a denied claim and the law is suppose to set up the process for that appeal to happen.
Grandfather plans are exempt from the appeal process.
