OH HMO Appeal – Untimely Payment
October 13, 2021 9:45 amURGENT- IMPERATIVE ACTION Dear Director of : This office has been asked to file a formal complaint with the Ohio... View more
Archives
KS HMO Script – Poststabilization Timeframe
October 13, 2021 9:39 amASK YOURSELF: When was the patient stabilized in the emergency room or admitted as an inpatient? Was the admission during... View more
RI HMO Appeal – Interest Owed on Late Claims
October 13, 2021 9:32 amURGENT- IMPERATIVE ACTION Dear Director of : This office has been asked to file a formal complaint with the Office... View more
RI HMO Appeal – Maternity Coverage
October 13, 2021 9:31 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Office of... View more
RI HMO Appeal – Medical Necessity – Qualified Reviewers
October 13, 2021 9:29 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Office of... View more
RI HMO Appeal – Notice Requirements for Adverse Determinations
October 13, 2021 9:27 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Office of... View more
RI HMO Appeal – Untimely Payment
October 13, 2021 9:26 amURGENT- IMPERATIVE ACTION Dear Director of : This office has been asked to file a formal complaint with the Office... View more
OH HMO Appeal – Non-urgent Authorization Timeframes
October 13, 2021 9:24 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Ohio Department... View more
KS HMO Script – Notice Requirements for Adverse Determinations
October 13, 2021 9:22 amASK YOURSELF: Who denied the claim? What is the professional’s license number with the State Medical Board? Were they a... View more
NJ HMO Appeal – Non-urgent Authorization Timeframes
October 13, 2021 9:16 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the New Jersey... View more