This is a reminder that Provider Appeals must be submitted to HNE within 12 months from the date of service.  Any appeal received after the 12 month deadline will be denied.  Appeals must be submitted on a Provider Appeal Review Sheet.  Copies of HNE's updated Provider Appeal Review Sheet and Provider Appeal Guidelines are available in HNE's provider manual.  When submitting an appeal, please be sure to include the HNE EOP and all other supporting documentation such as operative or office notes, authorizations or referrals, invoices, and other information which would be pertinent to the review.  If you have questions about relevant material to support the appeal, please contact Provider Operations at 413-787-4000, extension 5000.

Also, please note that corrected claims submitted within 180 days of the date of service are not considered appeals.  These can be submitted directly to HNE's Claims Dept.