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White House Unveils Consumer Rules to Appeal Health Plan Decisions



The Obama Administration announced on Thursday new regulations that would permit consumers to appeal decisions—such as claims denials and rescissions—made by their health plans or insurance companies. The new regulations—issued by the Departments of Health and Human Services, Labor, and Treasury—include the right for consumers to appeal decisions made by a health plan through the plan?s internal process or through an outside, independent decision-maker. This will apply to any state where a patient lives or whatever type of health coverage the consumer has.


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