UM106 – Member Appeal Process

The UM106 Member Appeal Process document provides a comprehensive overview of how members can appeal adverse benefit determinations made by Colorado Access. It outlines the rights of members and authorized representatives, the procedures for initiating an appeal, and the timelines for resolution. Additionally, it details the support provided to members during the appeals process, including information on continuation of benefits while appeals are pending. The document is crucial for understanding the procedures necessary to ensure proper healthcare access and dispute resolution.