CA HMO Affidavit – No Contract Underpayment
August 29, 2020 3:59 pmAFFIDAVIT OF COMPLIANCE Expected Reimbursement for Non-Contracted Claims — Gould Factors Incorporated by Reference in 28 US Code § 1746 ... View more
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CA HMO Affidavit – Untimely Filing
August 29, 2020 3:57 pmAFFIDAVIT OF COMPLIANCE Denial of Timely Billed Claims Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
CA HMO Affidavit – Untimely Payment
August 29, 2020 3:50 pmAFFIDAVIT OF COMPLIANCE Prompt Payment to Providers Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
CA HMO Affidavit – Poststabilization Timeframe
August 29, 2020 3:49 pmAFFIDAVIT OF COMPLIANCE Poststabilization Care Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
CA HMO Affidavit – Retroactive Denial for Authorized Care
August 29, 2020 3:46 pmAFFIDAVIT OF COMPLIANCE Retroactive Denial of Authorized Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
CA HMO Affidavit – Refund Recoupment
August 29, 2020 3:43 pmAFFIDAVIT OF COMPLIANCE Refund Recoupment Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
CA HMO Affidavit – Notice Requirements for Adverse Determinations
August 29, 2020 3:34 pmAFFIDAVIT OF COMPLIANCE Notice Requirements for Adverse Determinations Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
CA HMO Affidavit – No Authorization for ER Services and Care
August 29, 2020 3:28 pmAFFIDAVIT OF COMPLIANCE Emergency and Urgently Needed Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
CA HMO Affidavit – Medical Necessity – Qualified Reviewers
August 29, 2020 3:20 pmAFFIDAVIT OF COMPLIANCE Medical Necessity Competent Reviewer Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
CA HMO Affidavit – Maternity Coverage
August 29, 2020 3:15 pmAFFIDAVIT OF COMPLIANCE Maternity Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more