Overturned: The appeal was approved. All items originally denied have now been approved.
Upheld: The appeal was reviewed, and the original decision remains the same.
Partially Overturned: Some items were approved as a result of the appeal, while others remain denied.
Dismissal: The appeal was closed without review because it did not meet appeal requirements (i.e. it was submitted too late or was not eligible).
Withdrawn: The appeal was withdrawn by the provider or member before a decision was made.
Void: The appeal was canceled and is no longer valid.
Resolved: The grievance or appeal has been fully reviewed and completed.
Closed - Redirect: The case was sent to the correct team or process because it was submitted incorrectly.
Responded to Inquiry: A response has been provided, and the inquiry is now closed.
Responded to Grievance: A response to the grievance has been completed, and the case is closed.
Resolved - Add'l Info to Existing Case: The case has been completed after reviewing additional information submitted for an existing case.
Responded to Document Request: The requested documents were received and reviewed, and the case is now closed.
