… Pre-Service Appeal Process for Yale Health Members You have the right to appeal an adverse benefit determination rendered by Yale Health. The appeal process applies to any adverse benefit … right to bring a civil action under Section 502(a) of the Employee Retirement Security Act of 1974 (ERISA). **Please …

… Except for emergency and urgent care as defined in the Employee Coverage Booklet or Student Handbook, healthcare services outside of Yale Health Center require prior authorization by Yale Health. … 203-432-7397 or yhreferrals@yale.edu . Preferred Provider Directory Referrals … Referral Information …