ERISA Appeal – Non-urgent Authorization Timeframes
April 29, 2020 6:44 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Department of... View more
Archives
MA Appeal – Maternity Coverage
April 29, 2020 6:39 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Centers for... View more
MA Appeal – Interest Owed on Late Claims
April 29, 2020 6:37 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Centers for... View more
MA Affidavit – Non-urgent Authorization Timeframes
April 29, 2020 6:25 amAFFIDAVIT OF COMPLIANCE Timeframes for Authorization Requests – Non-Urgent Health Services Incorporated by Reference in 28 US Code § 1746... View more
MA Appeal – Non-urgent Authorization Timeframes
April 29, 2020 6:20 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Centers for... View more
29 CFR §2590.711(a) (1-2)
April 29, 2020 5:49 am(a) Hospital length of stay – (1) General rule. Except as provided in paragraph (a)(5) of this section, a group... View more
45 CFR §146.130(a)
April 29, 2020 5:48 am(a) Hospital length of stay – (1) General rule. Except as provided in paragraph (a)(5) of this section, a group... View more
42 CFR §422.520(a)
April 29, 2020 5:48 am(a) Contract between CMS and the MA organization. (1) The contract between CMS and the MA organization must provide that... View more
29 CFR §2560.503-1(f)(2)(iii)(A)
April 29, 2020 5:43 am(A) Pre-service claims. In the case of a pre-service claim, the plan administrator shall notify the claimant of the plan’s... View more