AL HMO Script – Maternity Coverage
October 7, 2021 5:30 pmASK YOURSELF: Did we verify eligibility? IF SO, WHAT DATE? Did the plan make negligent misrepresentation of the patient’s eligibility?... View more
Archives
AL HMO Script – Interest Owed on Late Claims
October 7, 2021 9:36 amASK YOURSELF: What date was the claim initially billed? What date was the claim paid? Did the plan pay this... View more
AL HMO Script – Non-urgent Authorization Timeframes
October 7, 2021 9:28 amASK YOURSELF: What date was the request for non-urgent authorization made? Was there any written communication (request for information, denial,... View more
AL HMO Appeal – Untimely Payment
October 7, 2021 9:18 amURGENT- IMPERATIVE ACTION Dear Director of : This office has been asked to file a formal complaint with the Alabama... View more
AL HMO Appeal – Refund Recoupment
October 7, 2021 9:09 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Alabama Department... View more
AL HMO Appeal – Poststabilization Timeframe
October 7, 2021 9:02 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Alabama Department... View more
AL HMO Appeal – Notice Requirements for Adverse Determinations
October 6, 2021 7:53 pmIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Alabama Department... View more
AL HMO Appeal – Medical Necessity – Qualified Reviewers
October 6, 2021 7:34 pmIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Alabama Department... View more
AL HMO Appeal – Maternity Coverage
October 6, 2021 7:31 pmIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Alabama Department... View more