Common use of Rescissions of coverage Clause in Contracts

Rescissions of coverage. After exhausting the internal review process, the claimant can make a written request to the Appeals & Grievance Department for external review after the date of receipt of our internal response. We will send your request to the IRO. You must contact the IRO or us within 120 calendar days (4 months) of the date of your appeal resolution letter. If you do not file your appeal for an external independent review within 120 days, it cannot be reviewed. If you are not sure whether your appeal is eligible, or if you want more information, please contact Ambetter from Sunshine Health.