CA Ins Code §10123.135(h)(4)
August 29, 2020 5:58 am(4) Communications regarding decisions to approve requests by providers prior to, retrospectively, or concurrent with the provision of health care... View more
Archives
CA Ins Code §10112.7(a)(1)
August 29, 2020 5:52 am(a) A group or individual health insurance policy issued, amended, or renewed on or after January 1, 2014, that provides... View more
CA Ins Code §10123.135(e)
August 29, 2020 5:49 am(e) An individual, other than a licensed physician or a licensed health care professional who is competent to evaluate the specific... View more
CA Ins Code §10123.87(a)(1-2,7)
August 29, 2020 5:46 am(a) No individual or group policy of disability insurance that provides coverage for hospital, medical, and surgical benefits that is... View more
CA Ins Code §10123.147(b)
August 29, 2020 5:45 am(b) If a complete claim, or portion thereof, that is neither contested nor denied, is not reimbursed by delivery to... View more
CA Ins Code §10123.13(b)
August 29, 2020 5:44 am(b) If an uncontested claim is not reimbursed by delivery to the claimant’s address of record within 30 working days after... View more
CA Ins Code §10123.135(h)(1)
August 29, 2020 5:44 am(h) In determining whether to approve, modify, or deny requests by providers prior to, retrospectively, or concurrent with the provision of... View more
CA PPO Appeal – Patient Not Eligible
August 29, 2020 4:09 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the California Department... View more
CA PPO Appeal – Untimely Filing
August 29, 2020 4:01 amURGENT- IMPERATIVE ACTION Dear Director of : This office has been asked to file a formal complaint with the California... View more
CA PPO Appeal – Untimely Payment
August 29, 2020 3:53 amURGENT- IMPERATIVE ACTION Dear Director of : This office has been asked to file a formal complaint with the California... View more