Independent Medical Review
External Review by the Office of Financial and Insurance Regulation
You can ask for an external review if you do not get an answer within 30 days from Molina Healthcare or you are not happy with the result of your appeal. You may appeal in writing to OFIR for an external review. The appeal request should be sent to:
Office of Financial and Insurance Regulation (OFIR)
Healthcare Appeals Section Office of General Counsel
P.O. Box 30220
Lansing, MI 48909-7720
(877) 999-6442
Fax Number: (517) 241-4168
You must appeal in writing to OFIR within 60 days after you receive the final answer from Molina Healthcare. Molina Healthcare can explain the external review process to you. We can also mail the external review forms to you. OFIR will send your appeal to an Independent Review Organization (IRO) for review. A decision will be mailed to you in 14 days of accepting your appeal.
You, your authorized representative or your doctor can also request an expedited appeal decision from OFIR at the same address above within 10 days after receiving an adverse determination. OFIR will send your appeal to an IRO for review. You will have a decision about your care within 72 hours.
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