CO HMO Script – Interest Owed on Late Claims
May 4, 2021 3:18 amASK YOURSELF: What date was the claim initially billed? What date was the claim paid? Did the plan pay this... View more
Archives
CO HMO Script – Non-urgent Authorization Timeframes
May 4, 2021 2:59 amASK YOURSELF: What date was the request for non-urgent authorization made? Was there any written communication (request for information, denial,... View more
CO HMO Appeal – Untimely Payment
May 4, 2021 2:34 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Colorado Division... View more
CO HMO Appeal – Retroactive Denial for Authorized Care
May 4, 2021 2:31 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Colorado Division... View more
CO HMO Appeal – Refund Recoupment
May 4, 2021 2:26 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Colorado Division... View more
CO HMO Appeal – Medical Necessity – Qualified Reviewers
May 4, 2021 2:20 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Colorado Division... View more
CO HMO Appeal – Poststabilization Timeframe
May 4, 2021 2:15 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Colorado Division... View more
CO HMO Appeal – Notice Requirements for Adverse Determinations
May 4, 2021 2:07 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Colorado Division... View more
CO HMO Appeal – No Authorization for ER Services and Care
May 4, 2021 2:02 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Colorado Division... View more
CO HMO Appeal – Maternity Coverage
May 4, 2021 1:57 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Colorado Division... View more