RI HMO Affidavit – No Authorization for ER Services and Care
October 13, 2021 10:40 amAFFIDAVIT OF COMPLIANCE Emergency and Urgently Needed Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
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RI HMO Affidavit – Medical Necessity – Qualified Reviewers
October 13, 2021 10:40 amAFFIDAVIT OF COMPLIANCE Medical Necessity – Competent Reviewer Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
RI HMO Affidavit – Maternity Coverage
October 13, 2021 10:39 amAFFIDAVIT OF COMPLIANCE Maternity Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: DOS: I hereby... View more
RI HMO Affidavit – Interest Owed on Late Claims
October 13, 2021 10:39 amAFFIDAVIT OF COMPLIANCE Interest Owed on Late Claims Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
OH HMO Affidavit – Refund Recoupment
October 13, 2021 10:38 amAFFIDAVIT OF COMPLIANCE Refund Recoupment Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: DOS: I hereby... View more
OH HMO Affidavit – Untimely Payment
October 13, 2021 10:34 amAFFIDAVIT OF COMPLIANCE Prompt Payment to Providers Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
OH HMO Affidavit – No Authorization for ER Services and Care
October 13, 2021 10:34 amAFFIDAVIT OF COMPLIANCE Emergency and Urgently Needed Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
NV HMO Affidavit – Interest Owed on Late Claims
October 13, 2021 10:33 amAFFIDAVIT OF COMPLIANCE Interest Owed on Late Claims Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
NV HMO Affidavit – Maternity Coverage
October 13, 2021 10:33 amAFFIDAVIT OF COMPLIANCE Maternity Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: DOS: ... View more
NV HMO Affidavit – No Authorization for ER Services and Care
October 13, 2021 10:33 amAFFIDAVIT OF COMPLIANCE Emergency and Urgently Needed Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more