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Step 4 - Health Care Authority (HCA) Review Judge Decision

You can ask for a final review of your case by the HCA Board of Appeals Review Judge. You must ask for this within 21 calendar days after the Independent Review Organization (IRO) decision is mailed. The decision of the HCA Board of Appeals is final. To ask for this review contact:

HCA Board of Appeals
P.O. Box 42700
Olympia, WA 98504-2700
Phone: (360) 725-0910
Fax: (360) 507-9018
Toll-Free: (844) 728-5212

Other Information

Second Opinion

At any time you can get a second opinion about your health care or condition. Call (800) 869-7165 (TTY 711) to find out how to get a second opinion.

Washington State Health Insurance Consumer Assistance Program

The Consumer Protection Division in the Washington State Office of the Insurance Commissioner can help you with questions and complaints. For help, contact:

Consumer Protection Division
Life and Health Section
PO Box 40256
Olympia, WA 98504-0256
Phone: Insurance Consumer Hotline at (800) 562-6900​​​

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