Retirement and Insurance
The easiest way to appeal a claim is to keep a standard cover sheet in your file that lists your name, address, telephone number and has line items for the date of the claim, claim number, amount and just states that you wish to appeal the attached claim. Make a copy of the EOB and attach it to the cover sheet and mail it to the address on the claim. While this takes a little of your time, it could net you more money paid against a claim and it’s worth the 33-cent stamp. If it’s a large claim denial, it’ll be worth the cost of a certified-return receipt letter. Here are the addresses for the first two appeals:
United Healthcare Group GA 757200 P.O. Box 740800 Atlanta, GA 30374-0800
MetLife Dental Group # 2757200 P.O. Box 14093 Lexington, KY 40512-4093
US Airways Benefits Administration Appeals Pittsburgh International Airport – JG20 P.O. Box 12346 Pittsburgh, PA 15231-0346
After three appeals, however, you are fin- ished and must accept the answer you are given unless you are covered by Managed Care and your claim is in excess of $2,000. Then, you may take a claim to the Managed Care Review Board, which consists of two company repre- sentatives and two pilot representatives. Their decision will be final and binding.
If there is any assistance we can provide during this often confusing process, please don’t hesitate to contact a member of your Retirement & Insurance Committee as listed in the gray pages, or your Benefits Specialist, Karen Browne, at the MEC office at 800-872-
4763 or ASPEN 2146. hearing from you.
After you have exhausted the two appeals above, the third appeal can go to:
November/December 1999 – US AIRWAVES
“ ” The easiest way to appeal a claim is to keep a standard cover sheet in your file that lists your name, address, telephone num- ber and has line items for the date of the claim, claim number, amount and just states that you wish to appeal the attached claim.