TX HMO Appeal – Maternity Coverage
May 5, 2021 2:13 pmURGENT- IMPERATIVE ACTION Dear Director of : This office has been asked to file a formal complaint with the Texas... View more
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TX HMO Appeal – Interest Owed on Late Claims
May 5, 2021 2:08 pmURGENT- IMPERATIVE ACTION Dear Director of : This office has been asked to file a formal complaint with the Texas... View more
TX HMO Appeal – Non-urgent Authorization Timeframes
May 5, 2021 1:57 pmIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Texas Department... View more
TX HMO Affidavit – Untimely Payment
May 5, 2021 1:42 pmAFFIDAVIT OF COMPLIANCE Prompt Payment to Providers Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
TX HMO Affidavit – Retroactive Denial for Authorized Care
May 5, 2021 1:39 pmAFFIDAVIT OF COMPLIANCE Retroactive Denial of Authorized Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
TX HMO Affidavit – Refund Recoupment
May 5, 2021 1:37 pmAFFIDAVIT OF COMPLIANCE Refund Recoupment Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
TX HMO Affidavit – Poststabilization Timeframe
May 5, 2021 1:33 pmAFFIDAVIT OF COMPLIANCE Poststabilization Care Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
TX HMO Affidavit – Notice Requirements for Adverse Determinations
May 5, 2021 1:30 pmAFFIDAVIT OF COMPLIANCE Notice Requirements for Adverse Determinations Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
TX HMO Affidavit – No Authorization for ER Services and Care
May 5, 2021 1:26 pmAFFIDAVIT OF COMPLIANCE Emergency and Urgently Needed Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
TX HMO Affidavit – Medical Necessity – Qualified Reviewers
May 5, 2021 1:21 pmAFFIDAVIT OF COMPLIANCE Medical Necessity – Competent Reviewer Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more