This version of the form is not currently in use and is provided for reference only. Download this version of Form FIS0018 for the current year.
This is a legal form that was released by the Michigan Department of Insurance and Financial Services - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form FIS0018?
A: Form FIS0018 is a document used to request external review for health care appeals in Michigan.
Q: Why would I need to use Form FIS0018?
A: You would need to use Form FIS0018 to request an external review if you are appealing a health care decision in Michigan.
Q: What is an external review?
A: An external review is a process where an independent review organization reviews your appeal to determine if the health care decision was correct.
Q: What information do I need to provide on Form FIS0018?
A: You will need to provide your personal information, details about the health care decision you are appealing, and any supporting documentation.
Q: What should I do after completing Form FIS0018?
A: After completing Form FIS0018, you should submit it to your health insurance company as instructed, along with any required documents or fees.
Form Details:
Download a fillable version of Form FIS0018 by clicking the link below or browse more documents and templates provided by the Michigan Department of Insurance and Financial Services.