NY HMO Appeal – Maternity Coverage
May 4, 2021 11:43 pmURGENT-IMPERATIVE-ACTION Dear Director of : This office has been asked to file a formal complaint with the NY Department of Financial... View more
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NY HMO Appeal – Interest Owed on Late Claims
May 4, 2021 11:40 pmURGENT-IMPERATIVE-ACTION Dear Director of : This office has been asked to file a formal complaint with the NY Department of Financial... View more
NY HMO Appeal – Non-urgent Authorization Timeframes
May 4, 2021 9:16 pmIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the NY Department of... View more
NY HMO Affidavit – Untimely Payment
May 4, 2021 8:21 pmAFFIDAVIT OF COMPLIANCE Prompt Payment to Providers Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
NY HMO Affidavit – Retroactive Denial for Authorized Care
May 4, 2021 8:19 pmAFFIDAVIT OF COMPLIANCE Retroactive Denial of Authorized Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
NY HMO Affidavit – Refund Recoupment
May 4, 2021 8:17 pmAFFIDAVIT OF COMPLIANCE Refund Recoupment Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
NY HMO Affidavit – Poststabilization Timeframe
May 4, 2021 7:59 pmAFFIDAVIT OF COMPLIANCE Poststabilization Care Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
NY HMO Affidavit – Notice Requirements for Adverse Determinations
May 4, 2021 7:54 pmAFFIDAVIT OF COMPLIANCE Notice Requirements for Adverse Determinations Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
NY HMO Affidavit – No Authorization for ER Services and Care
May 4, 2021 7:52 pmAFFIDAVIT OF COMPLIANCE Emergency and Urgently Needed Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
NY HMO Affidavit – Medical Necessity – Qualified Reviewers
May 4, 2021 7:50 pmAFFIDAVIT OF COMPLIANCE Medical Necessity – Competent Reviewer Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more