The first level appeal 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 are waiting for reimbursement.[9] The second level internal appeal should take a maximum of five business days following the review meeting.[10]

If you request an expedited internal appeal, your health insurer should send you a decision within 72 hours of receiving the request.[11]