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When an insurance company denies part of a claim because of “usual, customary and reasonable” (UCR) allowances, is there an appeal process?

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When an insurance company denies part of a claim because of “usual, customary and reasonable” (UCR) allowances, is there an appeal process?

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In order to exercise your appeal rights, you must personally lodge a formal appeal within a certain time limit. Mayo cannot advise you whether you should file an appeal and it does not have the right to file an appeal on your behalf. Most insurers are required to respond to your request for appeal within 30 to 60 days.

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