Expedited medical review. If your situation is urgent, you can skip the informal reconsideration process and request an expedited medical review.[8] Your situation is urgent if a delay in treatment could cause a significant negative impact on your medical condition. To request an expedited medical review, ask your health care provider to send the “https://insurance.az.gov/sites/default/files/documents/files/APPEALS_PROVIDER_CERTIF.pdf” to your health insurer along with supporting documentation.[9] Your health insurer should make a decision within one business day after receiving the form.[10]

Expedited appeal. If your insurer denies your claim again, ask your health care provider to submit a written expedited appeal to your insurer. Your health care provider should include any additional reasons and supporting documentation for the requested services. Your health insurer should make a decision within three business days of receiving the written expedited appeal.[11]

Expedited external independent review. If treatment is denied again, you have five business days to request an expedited external independent review.[12]