CA HMO Script – Interest Owed on Late Claims
August 30, 2020 4:52 pmASK YOURSELF: What date was the claim initially billed? What date was the claim paid? Did they pay this claim... View more
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CA HMO Script – Non-urgent Authorization Timeframes
August 30, 2020 4:49 pmASK YOURSELF: What date was the request for non-urgent authorization made? Was there any written communication (request for information, denial,... View more
CA HMO Affidavit – Concurrent Disagreement of Care
August 29, 2020 5:04 pmAFFIDAVIT OF COMPLIANCE Disagreement of Post-Stabilization Care Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
CA HMO Affidavit – Uncontested Portion of Claim
August 29, 2020 4:59 pmAFFIDAVIT OF COMPLIANCE Denial of Uncontested Portion of Claim Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients:... View more
CA HMO Affidavit – COB Denial
August 29, 2020 4:52 pmAFFIDAVIT OF COMPLIANCE Coordination of Benefits Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
CA HMO Affidavit – Overpayment Offset
August 29, 2020 4:49 pmAFFIDAVIT OF COMPLIANCE Overpayment Offset Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
CA HMO Affidavit – Request for Insignificant Information
August 29, 2020 4:48 pmAFFIDAVIT OF COMPLIANCE Request for Insignificant Information Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
CA HMO Affidavit – Unauthorized Treatment
August 29, 2020 4:43 pmAFFIDAVIT OF COMPLIANCE Unauthorized Treatment Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
CA HMO Affidavit – Silent PPO
August 29, 2020 4:37 pmAFFIDAVIT OF COMPLIANCE Silent PPO – Non-existent Contract Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
CA HMO Affidavit – Patient Not Eligible
August 29, 2020 4:35 pmAFFIDAVIT OF COMPLIANCE Patient Not Eligible Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more