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Pennsylvania external review

Independent External ReviewFile within 120 days

Pennsylvania launched its own state-run external review program in 2024, replacing the federal process. Early results: roughly half of reviewed denials overturned.

Who to contact
PA Insurance Department (PID)
www.pa.gov/agencies/insurance
1-877-881-6388

What to know

Not legal or medical advice. Coverage Rights is a self-help tool that helps you prepare your own appeal. For advice about your specific situation, talk to a licensed attorney or your doctor.

Internal appeal first, external review second. We’ll map your path.

Explain my denial