CO Rev. Stat. §10-16-113(3)(a)(IV)
August 8, 2021 2:37 am(IV) A carrier shall notify an individual of a benefit determination, whether adverse or not, with respect to a request... View more
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37 Fla. Stat. §641.495(4)
August 8, 2021 2:33 am(4) The organization shall ensure that the health care services it provides to subscribers, including physician services as required by s. 641.19(12)(d)... View more
37 Fla. Stat §641.513(3)(b-c)
August 8, 2021 2:27 am(b) If a determination has been made that an emergency medical condition exists and the subscriber has notified the hospital, or... View more
NY Ins L §4903(c)(1)
August 8, 2021 2:19 am(c)(1) A utilization review agent shall make a determination involving continued or extended health care services, additional services for an insured... View more
28 TAC §19.1718(d)(3)
August 8, 2021 2:17 am(d) An HMO or preferred provider benefit plan must issue and transmit a determination indicating whether the proposed medical or... View more
NY Ins L §3224-a(c)(1)
August 8, 2021 1:58 am(c)(1) Except as provided in paragraph two of this subsection, each claim or bill for health care services processed in violation... View more
NY Ins L §3224-a(a)
August 8, 2021 1:57 am(a) Except in a case where the obligation of an insurer or an organization or corporation licensed or certified pursuant to... View more
CO Rev. Stat §10-16-106.5(5)(a)
August 8, 2021 1:53 am(b) A carrier that fails to pay, deny, or settle a claim in accordance with subsection (4) of this section within... View more
CO Rev. Stat §10-16-106.5(5)(a)
August 8, 2021 1:51 amA carrier that fails to pay, deny, or settle a clean claim in accordance with paragraph (a) of subsection (4)... View more
CO Rev. Stat §10-16-106.5(4)(a)
August 8, 2021 1:48 am(a) Clean claims shall be paid, denied, or settled within thirty calendar days after receipt by the carrier if submitted... View more