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If you have a question about how a claim was processed, you can call our concierge at (844) 693-5863 to get more information about the determination. In some cases, issues can be resolved by providing additional information, as requested by the Flume team.
If your issue cannot be resolved informally, as a member you have the right to appeal the determination of any denied services or claim by filing an appeal with us.
Appeals related to pre-certification or medical necessity should be submitted to our medical management partners directly. Our concierge team can provide additional information on how to submit these appeals.
All other appeals must be submitted in writing to members@flumehealth.com or to our mailing address
Flume Health, Inc.
228 Park Ave S
PMB 42263
New York, New York 10003-1502
For your convenience, we have created a standardized form you may use to submit an appeal (button to form below).
Timeframes for filing an appeal vary depending on applicable state or federal requirements. You should consult your plan documents for additional details about the appeals process.
