Ala. Code §27-48-2
October 5, 2021 8:24 pm(a) Every health benefit plan that provides maternity coverage shall provide coverage for the following: (1) All medically necessary inpatient... View more
Archives
Ala. Code §27-1-17(a)
October 5, 2021 8:21 pm(a) Each insurer, health service corporation, and health benefit plan that issues or renews any policy of accident or health... View more
Ala. Code §27-3A-5(a)(1)
October 5, 2021 8:18 pm(1) Notification of a determination by the utilization review agent shall be mailed or otherwise communicated to the provider of... View more
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
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