The internal appeals process should take a maximum of 30 days if you have not yet received the requested service or treatment and a maximum of 60 days if you have received the service or treatment but have been denied for reimbursement.[4]

If you seek a second level of internal appeals, the process should take no more than 15 business days if you have not yet received the requested service or treatment and no more than 30 days if you have received the service or treatment but have been denied for reimbursement.[5]