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Non-Medicare Prescription Plan - Express Scripts

Appeal Process

Express Scripts non-Medicare Prescription Plan Appeal Process
To request a review or appeal the processing of claims for prescription services, member must complete the following two forms and submit to the Statewide Benefits Office:
- 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

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