NY Ins L §4904(c-d)
August 8, 2021 3:38 am(c) A utilization review agent shall establish a standard appeal process which includes procedures for appeals to be filed in writing... View more
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6 TIC §843.259(a-b)
August 8, 2021 3:37 am(a) A health maintenance organization shall include in a notice of the final decision on an appeal a statement of... View more
6 TIC §843.253(b)
August 8, 2021 3:36 am(b) After a health maintenance organization has investigated a complaint, the health maintenance organization shall issue a response letter to... View more
CO Rev. Stat. §10-16-704(4.5)(b-c)
August 8, 2021 3:19 am(b) Except as otherwise provided in this subsection (4.5), adjustments to claims by the provider or the carrier shall be made... View more
CO Rev. Stat. §10-16-704(4.5)(L)(I)
August 8, 2021 3:18 am(L)(I) Any adjustment made by the carrier that recovers carrier overpayments to a provider shall include a written notice to... View more
37 Fla. Stat §627.6131(6)(a)(2)
August 8, 2021 3:17 am(2) A provider that denies or contests a health insurer’s claim for overpayment or any portion of a claim shall... View more
37 Fla. Stat §627.6131(6)
August 8, 2021 3:16 am(6) If a health insurer determines that it has made an overpayment to a provider for services rendered to an insured,... View more
NY Ins L §3224-b(b)(1-3)
August 8, 2021 3:15 am(b) Overpayment to healthcare providers. (1) Other than recovery for duplicate payments, a health plan shall provide thirty days written notice... View more
6 TIC §843.350(b)
August 8, 2021 3:11 am(b) If a physician or provider disagrees with a request for recovery of an overpayment, the health maintenance organization shall... View more
6 TIC §843.350(a)(1-2)
August 8, 2021 3:10 am(a) A health maintenance organization may recover an overpayment to a physician or provider if: (1) not later than the... View more