6 TIC §843.350(b)
August 8, 2021 3:11 am(b) If a physician or provider disagrees with a request for recovery of an overpayment, the health maintenance organization shall... View more
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8 TIC §1271.155(b)
August 8, 2021 2:09 pm(b) A health care plan of a health maintenance organization must provide the following coverage of emergency care: (1) a... View more
8 TIC §1366.055(a)(1-2)
August 8, 2021 8:38 am(a)…a health benefit plan that provides maternity benefits, including benefits for childbirth, must provide to a woman who has given... View more
Administrative Code §22.484(g)(B)
September 3, 2020 4:41 am(ii) Establish and prescribe, by resolution, regulations providing for the operation of, the extent, character and quality of service, the... View more
Ala. Code §27-1-17(a)
October 5, 2021 8:21 pm(a) Each insurer, health service corporation, and health benefit plan that issues or renews any policy of accident or health... View more
Ala. Code §27-1-17(e)
October 5, 2021 8:29 pm(e) An insurer, health service corporation, and health benefit plan shall not retroactively deny, adjust, or seek recoupment or refund... View more
Ala. Code §27-3A-5(a)(1)
October 5, 2021 8:18 pm(1) Notification of a determination by the utilization review agent shall be mailed or otherwise communicated to the provider of... View more
Ala. Code §27-3A-5(a)(3)
October 5, 2021 8:26 pm(3) Any notification of determination not to certify an admission, service, or procedure shall include the principal reason for the... View more
Ala. Code §27-3A-5(a)(4)(a)
October 5, 2021 8:25 pm(a) On appeal, all determinations not to certify an admission, service, or procedure as being necessary or appropriate shall be... View more
Ala. Code §27-3A-5(a)(9)
October 5, 2021 8:30 pm(9) Utilization review agents shall allow a minimum of 24 hours after an emergency admission, service, or procedure for an... View more