IN HMO Appeal – Medical Necessity – Qualified Reviewers
October 9, 2021 10:32 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Indiana Department... View more
Archives
IN HMO Appeal – Maternity Coverage
October 9, 2021 10:26 amURGENT- IMPERATIVE ACTION Dear Director of : This office has been asked to file a formal complaint with the Indiana... View more
IN HMO Appeal – Interest Owed on Late Claims
October 9, 2021 9:18 amURGENT- IMPERATIVE ACTION Dear Director of : This office has been asked to file a formal complaint with the Indiana... View more
IN HMO Appeal – Non-urgent Authorization Timeframes
October 9, 2021 9:03 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Indiana Department... View more
IN HMO Affidavit – Untimely Payment
October 8, 2021 10:47 pmAFFIDAVIT OF COMPLIANCE Prompt Payment to Providers Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
IN HMO Affidavit – Retroactive Denial for Authorized Care
October 8, 2021 8:04 pmAFFIDAVIT OF COMPLIANCE Retroactive Denial of Authorized Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
IN HMO Affidavit – Refund Recoupment
October 8, 2021 6:53 pmAFFIDAVIT OF COMPLIANCE Refund Recoupment Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
IN HMO Affidavit – Poststabilization Timeframe
October 8, 2021 6:45 pmAFFIDAVIT OF COMPLIANCE Poststabilization Care Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
IN HMO Affidavit – Notice Requirements for Adverse Determinations
October 8, 2021 6:24 pmAFFIDAVIT OF COMPLIANCE Notice Requirements for Adverse Determinations Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
IN HMO Affidavit – No Authorization for ER Services and Care
October 8, 2021 3:16 pmAFFIDAVIT OF COMPLIANCE Emergency and Urgently Needed Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more