WA HMO Appeal – Non-urgent Authorization Timeframes
January 21, 2025 11:08 pmIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Washington Office... View more
Archives
MA Appeal – Plan Directed Care
January 18, 2025 9:00 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Centers for... View more
MA Appeal – Expedited Reconsideration
January 18, 2025 9:00 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to investigate the attached denial of plan-directed Medicare Long... View more
CA HMO Appeal – Ambulance Transport Contract No Authorization Improper Notice
December 17, 2024 7:11 amURGENT- IMPERATIVE ACTION Dear Director of : This office has been asked to file a formal complaint with the Department... View more
CA HMO Appeal – General Ambulance Transport No Contract Underpayment
December 17, 2024 7:01 amURGENT- IMPERATIVE ACTION Dear Director of : This office has been asked to file a formal complaint with the Department... View more
MA Appeal – Notice Requirements for Adverse Determinations
April 6, 2022 3:40 pmIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Centers for... View more
MO HMO Appeal – Poststabilization Timeframe
October 15, 2021 9:57 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Missouri Department... View more
GA HMO Appeal – Untimely Payment
October 15, 2021 9:40 amURGENT- IMPERATIVE ACTION Dear Director of : This office has been asked to file a formal complaint with the Georgia... View more
GA HMO Appeal – No Authorization for ER Services and Care
October 15, 2021 9:39 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Georgia Division... View more
GA HMO Appeal – Maternity Coverage
October 15, 2021 9:38 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Georgia Division... View more