GA HMO Appeal – Retroactive Denial for Authorized Care
October 15, 2021 9:32 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Georgia Division... View more
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GA HMO Appeal – Refund Recoupment
October 15, 2021 9:32 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Georgia Division... View more
MO HMO Affidavit – Maternity Coverage
October 15, 2021 7:44 amAFFIDAVIT OF COMPLIANCE Maternity Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
MO HMO Affidavit – Medical Necessity – Qualified Reviewers
October 15, 2021 7:44 amAFFIDAVIT OF COMPLIANCE Medical Necessity – Competent Reviewer Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
MO HMO Affidavit – No Authorization for ER Services and Care
October 15, 2021 7:44 amAFFIDAVIT OF COMPLIANCE Emergency and Urgently Needed Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
MO HMO Affidavit – Notice Requirements for Adverse Determinations
October 15, 2021 7:44 amAFFIDAVIT OF COMPLIANCE Notice Requirements for Adverse Determinations Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
MO HMO Affidavit – Refund Recoupment
October 15, 2021 7:43 amAFFIDAVIT OF COMPLIANCE Refund Recoupment Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
MO HMO Affidavit – Retroactive Denial for Authorized Care
October 15, 2021 7:43 amAFFIDAVIT OF COMPLIANCE Retroactive Denial of Authorized Services Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
MO HMO Affidavit – Non-urgent Authorization Timeframes
October 15, 2021 7:43 amAFFIDAVIT OF COMPLIANCE Timeframes for Authorization Requests – Non-Urgent Health Services Incorporated by Reference in 28 US Code § 1746... View more
MO HMO Appeal – Untimely Payment
October 15, 2021 7:42 amURGENT- IMPERATIVE ACTION Dear Director of : This office has been asked to file a formal complaint with the Missouri... View more