Skip to content
Back to Top

Health Insurance External Review

How to Submit an External Review Application

To avoid delay, you are encouraged to email your application to or fax it to 907-269-7910 rather than mailing it. If you have questions, or would like an option to upload a file larger than 50 MB please call 907-269-7900 and ask for consumer services.

To avoid a delayed or declined application, please review the Guide to External Review.

Application for Patients and Legal Guardians:
Only the patient or parent/legal guardian of a patient may complete the External Review Application Form.

Application for Medical Providers or other Third-Party Representatives All other third-party’s such as medical providers and other adults applying on behalf of a patient must complete the Third-Party External Review Application Form.

Is your application time sensitive?
If appropriate, a physician may certify an Expedited, Experimental/Investigational or an Expedited Experimental/Investigational External Review by completing the Provider Certification Form in combination with the External Review application or the Third-Party Extremal Review Application form.

Complaints and External Review Applications must be submitted by fax (907-269-7910) or email ( If your submission exceeds 15MB, please contact Consumer Services for an alternative.

  External Review Process Flow Charts

For Insurers

For Independent Review Organizations

Contact Consumer Services

  • Phone: 1-800-INSURAK (in-state, outside Anchorage)
  • Fax: 907-269-7910