When possible, you and/or your representative should attend appeal hearing(s) and present your case to the review committee.  Attending your appeal hearing will allow you to personalize your case for the review committee and give the review committee an opportunity to ask you questions.  Keep the following tips in mind when attending your hearing:

• Keep the tone of your presentation professional and polite
  Whether you, a family representative, or an attorney presents your case, avoid criticizing or attacking the committee or insurance company. While health matters are sensitive and can cause an emotional response, an antagonistic tone can easily divert the committee’s attention from the facts of your case. This may not be in your best interest.

• Focus on the facts and bring your case to life
  It might help to write your testimony ahead of time, then practice with someone unfamiliar with your case.  Don’t assume that the committee completely understands your case. The goal of your presentation should be to make your case clear to the review committee. If your presentation cites any documents, be sure to have enough copies of those documents available for each member of the committee. 

• Prepare a 1-page, bullet-style document to highlight important points
  Review committees may discuss your case after the hearing, so you may want to leave a list of key points behind with them. This document can serve as your “voice” after the hearing is over, but prior to a decision being rendered.

While you may now be more familiar with various aspects of the appeals process, you may still be curious about other resources available to you. For further information, see Additional Resources and Documentation.