When an insurance company denies coverage for your care, you don’t have to take “NO” for an answer. Learn about the appeals process for individual and employer-sponsored health plans, Medicare, and Medicaid.

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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Phone

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* 5. Street Address

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* 6. City

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* 7. State

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* 8. Zip Code

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* 9. Company/Organization (if applicable) 

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* 10. Title (if applicable) 

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* 11. Are you a (please check all that apply)

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* 12. If you are an individual with a medical condition other than cancer, please specify your medical condition

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* 13. What age range applies to you?

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* 14. I identify my race/ethnicity as

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* 15. What gender do you most identify with?

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* 16. If you are an individual who has been diagnosed with a medical condition, what type of medical condition do you have? If you are a caregiver, what type of medical condition is your loved one coping with? If you are a health care professional or navigator, what type of medical conditions are the majority of your patients diagnosed with?

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* 17. If you need an accommodation, please describe: 

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* 18. How did you hear about this webinar?

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