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Georgia Department of Insurance
October 5, 2021 10:58 amArizona Department of Insurance
October 5, 2021 9:31 amAlabama Department of Insurance
October 4, 2021 12:29 amGA HMO Script – Refund Recoupment
September 29, 2021 10:27 amASK YOURSELF: How many days after payment, did the HMO plan request the refund? Why did the plan request the... View more
37 Fla. Stat §641.513(3)(c)
August 17, 2021 6:17 pm(c) If the subscriber’s primary care physician responds to the notification, the hospital physician and the primary care physician may... View more
37 Fla. Stat. §641.6156 (1-2)
August 17, 2021 6:02 pm(1) A health maintenance organization must pay any hospital-service or referral-service claim for treatment for an eligible subscriber which was authorized... View more
37 Fla. Stat §627.6131(6)(a)(2-3)
August 17, 2021 5:41 pm(6) If a health insurer determines that it has made an overpayment to a provider for services rendered to an... View more
6 TIC §843.350(a-b)
August 17, 2021 5:24 pm(a) A health maintenance organization may recover an overpayment to a physician or provider if: (1) not later than the... View more
NY Ins L §4904(c)
August 17, 2021 5:05 pm(c) A utilization review agent shall establish a standard appeal process which includes procedures for appeals to be filed in writing... View more