The first level internal appeals process should take a maximum of 30 days from the date your insurance company receives your request for an internal appeal.[9] If you request a hearing during the second level appeal, your health insurer must schedule the hearing within 45 days, and the panel has five days to make their decision. If there is no hearing, your health insurer must notify you of its decision within 30 days.[10] If you requested an expedited internal review, the decision should be rendered within 72 hours after your request is received.[11]