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External Appeals for Utilization Management Decisions

For information regarding your right to appeal a utilization management decision, including use of an independent external review organization, please see your copy of the Evidence of Coverage: Your Medicare Health Benefits and Services as a Member of UPMC for Life. Look in the section Detailed Information About How to Make an Appeal that Involves your Medicare Advantage Benefit. Copies of the Evidence of Coverage for UPMC for Life HMO and PPO plans can be found at by clicking here.

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