A provider is billing for a service that has already been completed but was not a covered benefit of the plan. The service was denied, and the provider submitted an appeal. What kind of appeal is this?

A member is appealing a Recommended Clinical Review denial because she says she has met medical policy criteria. What kind of appeal is this?

A member requested an escalation of an appeal for a life-altering pain treatment that was denied because it was not covered under his plan. It has been in review for 15 days. Which type of appeal is this request eligible for?