You should submit your request for an external review to your health insurer within 60 days from the date that your insurer sent you the final decision.^[10] You can find a sample letter for requesting an external review on page 29 of this document.^[11] You should include any new information and documentation that you did not previously include with your request for an internal appeal.

Your health insurer will assign an independent review organization to review your appeal and send you notice of which review organization is handling your case and the organization’s contact information.^[12]