TX HMO Appeal – Medical Necessity – Qualified Reviewers
May 5, 2021 2:23 pmIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Texas Department... View more
Archives
TX HMO Appeal – Maternity Coverage
May 5, 2021 2:13 pmURGENT- IMPERATIVE ACTION Dear Director of : This office has been asked to file a formal complaint with the Texas... View more
TX HMO Appeal – Interest Owed on Late Claims
May 5, 2021 2:08 pmURGENT- IMPERATIVE ACTION Dear Director of : This office has been asked to file a formal complaint with the Texas... View more
TX HMO Appeal – Non-urgent Authorization Timeframes
May 5, 2021 1:57 pmIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Texas Department... View more
NY HMO Appeal – Untimely Payment
May 5, 2021 12:56 amURGENT- IMPERATIVE ACTION Dear Director of : This office has been asked to file a formal complaint with the NY... View more
NY HMO Appeal – Retroactive Denial for Authorized Care
May 5, 2021 12:41 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the NY Department... View more
NY HMO Appeal – Refund Recoupment
May 5, 2021 12:25 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the NY Department of... View more
NY HMO Appeal – Poststabilization Timeframe
May 5, 2021 12:05 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the NY Department of... View more
NY HMO Appeal – Notice Requirements for Adverse Determinations
May 5, 2021 12:02 amURGENT-IMPERATIVE-ACTION Dear Director of : This office has been asked to file a formal complaint with the NY Department of Financial... View more
NY HMO Appeal – No Authorization for ER Services and Care
May 4, 2021 11:54 pmURGENT-IMPERATIVE-ACTION Dear Director of : This office has been asked to file a formal complaint with the NY Department of Financial... View more