An appeal is a request for your health insurance carrier to review a decision that denies a benefit or payment. Since THT partners with different carriers for each area of your benefits, the steps for your appeal will differ depending on the specific claim.
If after reviewing your explanation of benefits (EOB), you have questions or think you may need to file an appeal, please call (702) 794-0272 and follow the prompts to speak with the appropriate team regarding your claim. Explain what you are being told by the provider. They can assist you in ensuring you are only paying out-of-pocket for the appropriate rate and advise on next steps, if necessary. Appeal processing times vary by carrier. For most appeals, you should be notified of the decision with 30 days of submission.
Medical Appeal - UMR
To appeal:
Send your written appeal request including this PDF Form to:
Claims Appeal Unit
P.O. Box 30546
Salt Lake City, UT 84130-0546
Note: THT is not governed by ERISA.