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Claim Status and Appeals

An appeal is a request for your health insurance carrier to review a decision that denies a benefit or payment. Since THT partners with different carriers for each area of your benefits, the steps for your appeal will differ depending on the specific claim.

If after reviewing your EOB, you have questions or think you may need to file an appeal, please call (702) 794-0272 and follow the prompts to speak with the appropriate team regarding your claim. Explain what you are being told by the provider. They can assist you in ensuring you are only paying out-of-pocket for the appropriate rate and advise on next steps, if necessary. Appeal processing times vary by carrier. For most appeals, you should be notified of the decision with 30 days of submission.

Medical Appeal - UMR

To appeal:

  • Send your written appeal request including this form PDF Form to:
    Claims Appeal Unit
    P.O. Box 30546
    Salt Lake City, UT 84130-0546
  • Note: THT is not governed by ERISA.

Medical Appeal - EMI

To appeal:

  • Log into MyEMI 
  • Select “Claims”
  • Select the claim to be appealed
  • Click “Appeal”
  • Fill out the form and submit

Dental Appeal - Cigna

To appeal:

  • Send your written appeal request to:
    Cigna Dental Appeals
    PO Box 188047
    Chattanooga TN. 37422-8044
  • Include any supporting information such as office/chart notes, history, and x-rays.

Vision Appeal - VSP

To appeal:

  • Send your written appeal request to:
    Vision Service Plan
    Attn: Appeals Department
    P.O. Box 2350
    Rancho Cordova, CA 95741
  • To file an appeal orally, call (800) 877 7195.