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Thank you for your question.Typically a dismissal with prejudice bar any refiling unless it is done on new claims or against new parties. So if the initial claim was dismissed against the doctors, filing against the HMO is still possible provided it is still within the statutory limitation. As for filing for an appeal after the 10 days passed is possible but unlikely--the judge will likely dismiss it due to the appeal not being timely. You can try it, but that is very likely not going to get the courts to review this for you.Good luck.