GA HMO Script – Interest Owed on Late Claims
October 15, 2021 9:46 amASK YOURSELF: What date was the claim initially billed? What date was the claim paid? Did the plan pay this... View more
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GA HMO Script – Untimely Payment
October 15, 2021 9:45 amASK YOURSELF: What date was the claim initially billed? Was there any written communication (request for information, denial, underpayment) from... View more
GA HMO Script – Maternity Coverage
October 15, 2021 9:45 amASK YOURSELF: Did we verify eligibility? IF SO, WHAT DATE? Did the plan make negligent misrepresentation of the patient’s eligibility?... View more
GA HMO Affidavit – Retroactive Denial for Authorized Care
October 15, 2021 9:43 amAFFIDAVIT OF COMPLIANCE Retroactive Denial of Authorized Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
GA HMO Affidavit – Untimely Payment
October 15, 2021 9:43 amAFFIDAVIT OF COMPLIANCE Prompt Payment to Providers Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
GA HMO Affidavit – Refund Recoupment
October 15, 2021 9:43 amAFFIDAVIT OF COMPLIANCE Refund Recoupment Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: DOS:... View more
GA HMO Affidavit – No Authorization for ER Services and Care
October 15, 2021 9:43 amAFFIDAVIT OF COMPLIANCE Emergency and Urgently Needed Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
GA HMO Affidavit – Maternity Coverage
October 15, 2021 9:43 amAFFIDAVIT OF COMPLIANCE Maternity Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: DOS:... View more
GA HMO Affidavit – Interest Owed on Late Claims
October 15, 2021 9:42 amAFFIDAVIT OF COMPLIANCE Interest Owed on Late Claims Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... 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