State Level
Appeal Review
| Medical Necessity & Appropriateness Peer Review | Behavioral Pharmacy Consultation | Case Shaping & Consultation | Disability Review |
Patient protection legislation in many states allows insured individuals to challenge adverse medical determinations made by their health plans.
Prest & Associates is certified and/or qualified to do state appeal review in:
| • Alaska | • D. C. | • Hawaii | • Iowa |
| • Louisiana | • Maryland (PRA) | • Missouri | • Nevada |
| • New Hampshire | • Ohio | • Oklahoma | • Pennsylvania |
| • South Carolina | • South Dakota | • Tennessee | • Utah |
| • West Virginia | • Wisconsin | Wyoming | |
For more information call 1-800-358-5129
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(Revised January 26, 2012)