RI HMO Affidavit – Non-urgent Authorization Timeframes
October 5, 2021 12:42 pmAFFIDAVIT OF COMPLIANCE Timeframes for Authorization Requests – Non-Urgent Health Services Incorporated by Reference in 28 US Code § 1746... View more
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Rhode Island Office of the Health Insurance Commissioner
October 5, 2021 12:35 pmOH HMO Script – Untimely Payment
October 5, 2021 12:28 pmASK YOURSELF: What date was the claim initially billed? Was there any written communication (request for information, denial, underpayment) from... View more
OH HMO Script – Refund Recoupment
October 5, 2021 12:27 pmASK YOURSELF: How many days after payment, did the HMO plan request the refund? Why did the plan request the... View more
OH HMO Script – Poststabilization Timeframe
October 5, 2021 12:25 pmASK YOURSELF: When was the patient stabilized in the emergency room or admitted as an inpatient? Was the admission during... View more