PA HMO Affidavit – Refund Recoupment
October 13, 2021 10:29 amAFFIDAVIT OF COMPLIANCE Refund Recoupment Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: DOS: ... View more
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PA HMO Affidavit – Untimely Payment
October 13, 2021 10:28 amAFFIDAVIT OF COMPLIANCE Prompt Payment to Providers Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
OH HMO Affidavit – Non-urgent Authorization Timeframes
October 13, 2021 10:28 amAFFIDAVIT OF COMPLIANCE Timeframes for Authorization Requests – Non-Urgent Health Services Incorporated by Reference in 28 US Code § 1746... View more
PA HMO Appeal – Untimely Payment
October 13, 2021 10:07 amURGENT- IMPERATIVE ACTION Dear Director of : This office has been asked to file a formal complaint with the Pennsylvania... View more
PA HMO Appeal – Medical Necessity – Qualified Reviewers
October 13, 2021 10:07 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Pennsylvania Insurance... View more
PA HMO Appeal – Notice Requirements for Adverse Determinations
October 13, 2021 10:06 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Pennsylvania Insurance... View more
PA HMO Appeal – Interest Owed on Late Claims
October 13, 2021 10:04 amURGENT- IMPERATIVE ACTION Dear Director of : This office has been asked to file a formal complaint with the Pennsylvania... View more
KS HMO Script – Untimely Payment
October 13, 2021 9:59 amASK YOURSELF: What date was the claim initially billed? Was there any written communication (request for information, denial, underpayment) from... View more
NV HMO Appeal – Untimely Payment
October 13, 2021 9:57 amURGENT- IMPERATIVE ACTION Dear Director of : This office has been asked to file a formal complaint with the Nevada... View more
NV HMO Appeal – Medical Necessity – Qualified Reviewers
October 13, 2021 9:56 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Nevada Division... View more