AL HMO Affidavit – Poststabilization Timeframe
October 6, 2021 8:24 amAFFIDAVIT OF COMPLIANCE Poststabilization Care Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
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AL HMO Affidavit – Notice Requirements for Adverse Determinations
October 6, 2021 8:18 amAFFIDAVIT OF COMPLIANCE Notice Requirements for Adverse Determinations Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
AL HMO Affidavit – Medical Necessity – Qualified Reviewers
October 6, 2021 8:13 amAFFIDAVIT OF COMPLIANCE Medical Necessity – Competent Reviewer Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
AL HMO Affidavit – Maternity Coverage
October 6, 2021 8:09 amAFFIDAVIT OF COMPLIANCE Maternity Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
AL HMO Affidavit – Interest Owed on Late Claims
October 6, 2021 8:03 amAFFIDAVIT OF COMPLIANCE Interest Owed on Late Claims Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
AL HMO Affidavit – Non-urgent Authorization Timeframes
October 6, 2021 8:02 amAFFIDAVIT OF COMPLIANCE Timeframes for Authorization Requests – Non-Urgent Health Services Incorporated by Reference in 28 US Code § 1746... View more
Ala. Code §27-3A-5(a)(9)
October 5, 2021 8:30 pm(9) Utilization review agents shall allow a minimum of 24 hours after an emergency admission, service, or procedure for an... View more
Ala. Code §27-1-17(e)
October 5, 2021 8:29 pm(e) An insurer, health service corporation, and health benefit plan shall not retroactively deny, adjust, or seek recoupment or refund... View more
Ala. Code §27-3A-5(a)(3)
October 5, 2021 8:26 pm(3) Any notification of determination not to certify an admission, service, or procedure shall include the principal reason for the... View more
Ala. Code §27-3A-5(a)(4)(a)
October 5, 2021 8:25 pm(a) On appeal, all determinations not to certify an admission, service, or procedure as being necessary or appropriate shall be... View more