Wiki Insurance appeal review timeframe

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orthobiller2017 said:
If an insurance company exceeds 90 days to review an appeal without requesting additional information (ghi) aren't they legally obligated to pay?
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Not necessarily - there is no national law that requires this. Some individual states have insurance regulations that have requirements such as this, but even then, those laws only apply to fully insured policies that are issued within that particular state.
 
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