For individual and non-employer group coverage plans, the internal appeals process should take no more than 30 days from the time the health insurer receives all information necessary to review the appeal.^[5]

For employer group coverage plans, the internal appeals process should take no longer than 30 days from the time the health insurer receives all information for each level of appeal, for a total of 60 days if two levels of appeal are required.^[6]

You should receive a decision on an expedited internal appeal within 72 hours of your insurer receiving your request.^[7]