Georgia: Start Here
Beginner guide for Georgia—Georgia Access, OCI external review, PA transparency law, and what to open next.
Read guideState playbook
Georgia
State insurers, legislation, and appeal resources for patients and advocates in Georgia.
4 guides
Georgia Prior Authorization Law
7-day and 72-hour PA deadlines, 45-day stability, chronic med PA, website transparency (§§ 33-46-20–33-46-28).
Read guideGeorgia Health Insurance Appeals and Grievances
Internal appeal and managed care grievance paths, 60-day UR appeal rules, path to OCI independent review.
Read guideGeorgia External Review
OCI binding IRO review—30-day standard, 72-hour expedited, experimental treatment criteria, fully insured GA plans.
Read guidePrior auth & internal appeals
Match the plan on the member ID card. Use the denial letter for where to file appeals.
- Anthem Blue Cross Blue Shield of Georgia
- Kaiser Permanente Georgia
- Ambetter
- Georgia Medicaid
External appeals
After internal appeal, for eligible Georgia fully insured plans only.
- Georgia OCI — External / Independent Review
- Coverage Rights — Georgia