CA HMO Affidavit – Notice Requirements for Adverse Determinations
August 29, 2020 3:34 pmAFFIDAVIT OF COMPLIANCE Notice Requirements for Adverse Determinations Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
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CA HMO Affidavit – No Authorization for ER Services and Care
August 29, 2020 3:28 pmAFFIDAVIT OF COMPLIANCE Emergency and Urgently Needed Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
CA HMO Affidavit – Medical Necessity – Qualified Reviewers
August 29, 2020 3:20 pmAFFIDAVIT OF COMPLIANCE Medical Necessity Competent Reviewer Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
CA HMO Affidavit – Maternity Coverage
August 29, 2020 3:15 pmAFFIDAVIT OF COMPLIANCE Maternity Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
CA HMO Affidavit – Interest Owed on Late Claims
August 29, 2020 3:06 pmAFFIDAVIT OF COMPLIANCE Interest Owed on Late Claims Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
CA HMO Affidavit – Non-urgent Authorization Timeframes
August 29, 2020 3:02 pmAFFIDAVIT OF COMPLIANCE Timeframes for Authorization Requests – Non-Urgent Health Services Incorporated by Reference in 28 US Code § 1746... View more
CA HMO Appeal – Concurrent Disagreement of Care
August 29, 2020 2:52 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Department of... View more
CA HMO Appeal – Uncontested Portion of Claim Denial
August 29, 2020 2:47 amURGENT- IMPERATIVE ACTION Dear Director of : This office has been asked to file a formal complaint with the Department... View more
CA HMO Appeal – COB Denial
August 29, 2020 2:39 amURGENT- IMPERATIVE ACTION Dear Director of : This office has been asked to file a formal complaint with the Department... View more
CA HMO Appeal – Unlawful Offset
August 29, 2020 2:33 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Department of... View more