KS HMO Affidavit – Refund Recoupment
October 10, 2021 10:35 pmAFFIDAVIT OF COMPLIANCE Refund Recoupment Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
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KS HMO Affidavit – Poststabilization Timeframe
October 10, 2021 10:08 pmAFFIDAVIT OF COMPLIANCE Poststabilization Care Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
KS HMO Affidavit – Notice Requirements for Adverse Determinations
October 10, 2021 6:15 pmAFFIDAVIT OF COMPLIANCE Notice Requirements for Adverse Determinations Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
KS HMO Affidavit – No Authorization for ER Services and Care
October 10, 2021 6:12 pmAFFIDAVIT OF COMPLIANCE Emergency and Urgently Needed Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
KS HMO Affidavit – Interest Owed on Late Claims
October 10, 2021 6:07 pmAFFIDAVIT OF COMPLIANCE Interest Owed on Late Claims Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
KS HMO Affidavit – Non-urgent Authorization Timeframes
October 10, 2021 6:02 pmAFFIDAVIT OF COMPLIANCE Timeframes for Authorization Requests – Non-Urgent Health Services Incorporated by Reference in 28 US Code § 1746... View more
IN HMO Script – Untimely Payment
October 10, 2021 3:57 pmASK YOURSELF: What date was the claim initially billed? Was there any written communication (request for information, denial, underpayment) from... View more
IN HMO Script – Retroactive Denial for Authorized Care
October 10, 2021 3:52 pmASK YOURSELF: Was the coverage terminated? Did we verify eligibility? If so, what date and time? Did the plan make... View more
NJ HMO Script – Retroactive Denial for Authorized Care
October 10, 2021 3:47 pmASK YOURSELF: Was the coverage terminated? Did we verify eligibility? If so, what date and time? Did the plan make... View more
IN HMO Script – Refund Recoupment
October 10, 2021 3:42 pmASK YOURSELF: How many days after payment, did the HMO plan request the refund? Why did the plan request the... View more