You should submit your request for external review to your health insurer, which will forward your request to the Division of Financial Regulation (“Division”).[6] The Division will then randomly assign your case to an external review organization.[7]

You must file your request within 180 days from the date that your insurer sent you the final decision.[8] You should include any additional information and documentation that you did not include with your previous request for an internal appeal with your request for an external review, including medical records and recommendations of your treating health care provider or providers.[9] Be sure to note on your application whether you are requesting a standard or expedited external review.