Credits and Acknowledgements
Patient Advocate Foundation is a national non-profit organization that serves as an active liaison between the patient and their insurer, employer and/or creditors to resolve insurance, job retention, and/or debt crisis matters relative to their diagnosis through case managers and attorneys. Patient Advocate Foundation seeks to safeguard patients through effective mediation assuring access to care, maintenance of employment and preservation of their financial stability.
Your Guide to the Appeals Process was inspired by patients and family members who work diligently at fighting a disease and for the right to treatment. The Patient Advocate Foundation would like to thank the doctors, nurses, and other professionals who assist patients and their families in these battles everyday. We would especially like to thank patients and professionals who were willing to discuss their needs and concerns which brought about the idea for this brochure.
Patient Advocate Foundation would like to gratefully acknowledge the generous support of Amgen, Inc. in underwriting the research of the first edition of Your Guide to the Appeals Process through an unrestricted educational grant.
We thank Janet Patton, RN, BSN, a Patient Advocate Foundation employee, for her writing of this book.
We also express gratitude to Ilisa Halpern, Government Relations Department, American Cancer Society, for serving on our Editorial Review Board.
We express our gratitude to the following members of our Editorial Review Board:
John D. Blum
Associate Dean for Health Law Programs,
Professor of Law
Marc DeBofsky, Esq.
DeBofsky & DeBofsky
Government Relations Department
American Cancer Society
Howard B. Hellen, Esq.
San Diego, CA
Marc Lippman, MD
Georgetown University Medical Center
Richard P. Neuworth, Esq.
Lebau & Neuworth, LLC
The Patient Advocate Foundation would like to thank the Editorial Review Board for their thoughtful review, insightful comments, and expert advice.
"Aetna will allow members to appeal denials." (1999) Associated Press.
Decarlo, T. (April, 1999) "The top ten HMO mistakes, how to avoid them." New Woman, pp. 86-119.
Frey, H. (1998). "How to protect yourself in the age of managed care."
Greene, Jan. (1998) "Some HMOs now let you appeal."
"Help for health insurance customers." (1999) National Association of Insurance Commissioners.
"Never talk to the monkey when the organ grinder is available." (January, 1998).
Practical Tips for the Practicing Oncologist. (1997) American Society of Clinical Oncology. Chapter 18, pp. 83-84.
Reimer, S. (1995). What to do when denied health or disability benefits. (Spring, 1995) The CFIDS Chronicle, p. 37.
Taking control of your health care. A guide to getting the most from your health plan. Pamphlet by: Citizens for the "Right to Know". Timely solutions for improving oncology provider case manager communications. (1998). Independent Study module by Oncology Education Services.
"You have a VOB, now make 'em pay." (January, 1998)
Patient Advocate Foundation
421 Butler Farm Road
Hampton, VA 23666
Phone: 757.873.6668 Toll Free: 1.800.532.5274
Copyright 2001 by PATIENT ADVOCATE FOUNDATION
All rights reserved, including the right of reproduction in whole or in part in any form.
Cover designed by Steve Pierce of Virginia Beach, VA.
Manufactured in the United States of America.