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Michigan Prior Authorization Request Form For Prescription Drugs Instructions Important Please read all instructions below before completing FIS 2288. A standard form FIS 2288 is being made available by the Department of Insurance and Financial Services to simplify exchanges of information between prescribers and health insurers as part of the process of requesting prescription drug prior authorization. This form will be updated periodically and the form number and most recent revision date are displayed in the top lefthand corner. If additional information is requested by an insurer a prior authorization request is considered to have been granted by the insurer if the insurer fails to grant the request deny the request or otherwise respond to the request of the prescriber within 72 hours after the date and time of submission of the additional information for an expedited prior authorization request or within 15 days after the date and time of submission of the additional information f....

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How to write this complaint letter: Give all the relevant facts concerning the claim. Refer to any documents that will help substantiate your position. Include a specific request for action you feel will correct the situation. ... Close the letter with an expression of hope or confidence.

Insurance Licensing Questions If you have a question or need assistance, call (800) 342-3736 (M-F, 8:30 AM to 4:30 PM). Local calls can be made to (212) 480-6400 or (518) 474-6600.

Fewest consumer complaints: Progressive. Highest customer satisfaction ratings: State Farm. Most coverage options: Allstate. Most tech-friendly: Geico.

The NYS Department of Financial Services supervises and regulates all insurance business in NY State and investigates complaints about insurance company problems including violations of the NYS Prompt Pay Law (which requires health insurers & HMOs to pay undisputed health insurance claims within 45 days of receipt and ...

Call (800) 342-3736 for free help in your language. If you need a document translated into your language, send an email to consumers@dfs.ny.gov. Learn more about how to contact DFS on our Contact Us page.

Call (800) 342-3736 for free help in your language. If you need a document translated into your language, send an email to consumers@dfs.ny.gov. Learn more about how to contact DFS on our Contact Us page.

Request a formal review by the insurance company. The customer service representative can tell you the specific procedures required. Then, state your case for appeal in writing, and send the letter via certified mail with return receipt requested. Make sure to do this immediately.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232