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What does External Review mean?

An independent review that may be available after a plan upholds certain denials.

Illustration — not a plan price

The notice should explain whether the decision qualifies, the filing deadline, and the documents required.

The actual plan document controls. Verify its definitions, network, exclusions, dates, and amounts before relying on the illustration.

Definitions here are never for sale — no plan is recommended on a comprehension page.

Source: HealthCare.gov — How to appeal an insurance company decision · Verified 2026-08-11 · Reviewed by the MedicalRecords.com editorial team · Last reviewed August 11, 2026

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