KS HMO Script – Non-urgent Authorization Timeframes
October 13, 2021 12:08 amASK YOURSELF: What date was the request for non-urgent authorization made? Was there any written communication (request for information, denial,... View more
Archives
KS HMO Appeal – Untimely Payment
October 12, 2021 11:46 pmURGENT- IMPERATIVE ACTION Dear Director of : This office has been asked to file a formal complaint with the Kansas... View more
KS HMO Appeal – Refund Recoupment
October 12, 2021 11:03 pmIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Kansas Insurance... View more
KS HMO Appeal – Poststabilization Timeframe
October 12, 2021 10:47 pmIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Kansas Insurance... View more
KS HMO Appeal – Notice Requirements for Adverse Determinations
October 12, 2021 10:30 pmIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Kansas Insurance... View more
KS HMO Appeal – No Authorization for ER Services and Care
October 12, 2021 9:58 pmIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Kansas Insurance... View more
KS HMO Appeal – Interest Owed on Late Claims
October 12, 2021 9:27 pmURGENT- IMPERATIVE ACTION Dear Director of : This office has been asked to file a formal complaint with the Kansas... View more
KS HMO Appeal – Non-urgent Authorization Timeframes
October 12, 2021 8:46 pmIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Kansas Insurance... View more
NJ HMO Appeal – Notice Requirements for Adverse Determinations
October 12, 2021 1:04 pmIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the New Jersey... View more
MO HMO Script – Refund Recoupment
October 12, 2021 12:09 pmASK YOURSELF: How many days after payment, did the HMO plan request the refund? Why did the plan request the... View more