Appeals & Grievances
If you disagree with us on a claim decision or simply had a bad experience with us, we want to know about it.

How to Appeal an HMSA Decision as a Commercial Member
An appeal is a formal way of asking HMSA to review a decision on a denied claim. Learn more about the process.
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HMSA Medicare Advantage Member Appeals
You can ask us to recheck a decision about your health plan or prescription drug coverage for services or benefits you've received.
Read moreQUEST Integration Member Grievances and Appeals
If you have questions, suggestions, or a grievance about HMSA QUEST Integration services, we can help you with most of your questions over the phone or send your inquiries in writing.
Read moreCommercial Member Form to Appeal
You can ask us to recheck a decision about your health plan or prescription drug coverage for services or benefits you've received.
Dental Appeals
You can ask us to recheck a decision about your health plan or prescription drug coverage for services or benefits you’ve received.
Read moreYou can ask to have an independent review organization look over your appeal if you think we made a mistake.
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