Lantern - Surgeons of Excellence

Appeal Process

• Lantern Appeal Process
  To request a review or appeal the processing of claims for health care services, member must complete the following two forms and submit to the Statewide Benefits Office (SBO):
  • * State of Delaware Authorization for Release of Protected Health Information Form
  • * Appeal Form and Checklist for Filing a Level III Appeal of Prior Denial to SBO
• Highmark Delaware Appeal Process for non-Medicare Health Plans
• Aetna Appeal Process for CDH Gold and HMO Health Plans
• Non-Medicare Prescription Plan Appeal Process

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