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What if I don't agree with the action taken on my medical bill?

Members can appeal bill-sharing decisions.

A Member can appeal bill-sharing decisions with which they disagree if he or she believes:

  • the medical records were misread, or
  • the Guidelines were misapplied.

After a review, if the Member disagrees with the decision, the Member has 90 days to request a review by a Seven Member Appeal Panel established by GraceWell. GraceWell and the Member will both submit a written position statement to the panel. A teleconference will be held where the panel can ask questions of both the Member and GraceWell. A simple majority vote (four out of seven) will carry the decision to share or not.