WA HMO Appeal – Notice Requirements for Adverse Determinations
January 21, 2025 11:46 pmIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Office of... View more
Archives
WA HMO Appeal – No Authorization for ER Services and Care
January 21, 2025 11:41 pmIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Office of... View more
WA HMO Appeal – Medical Necessity – Qualified Reviewers
January 21, 2025 11:38 pmIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Office of... View more
WA HMO Appeal – Maternity Coverage
January 21, 2025 11:33 pmIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Office of... View more
WA HMO Appeal – Interest Owed on Late Claims
January 21, 2025 11:12 pmURGENT- IMPERATIVE ACTION Dear Director of : This office has been asked to file a formal complaint with the Washington... View more
WA HMO Appeal – Non-urgent Authorization Timeframes
January 21, 2025 11:08 pmIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Washington Office... View more
WA HMO Affidavit – Untimely Payment
January 21, 2025 10:51 pmAFFIDAVIT OF COMPLIANCE Prompt Payment to Providers Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
WA HMO Affidavit – Retroactive Denial for Authorized Care
January 21, 2025 10:50 pmAFFIDAVIT OF COMPLIANCE Retroactive Denial of Authorized Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
WA HMO Affidavit – Refund Recoupment
January 21, 2025 10:46 pmAFFIDAVIT OF COMPLIANCE Recoupment Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
WA HMO Affidavit – Poststabilization Timeframe
January 21, 2025 10:44 pmAFFIDAVIT OF COMPLIANCE Poststabilization Care Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more