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
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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
Ala. Code §27-48-2
October 5, 2021 8:24 pm(a) Every health benefit plan that provides maternity coverage shall provide coverage for the following: (1) All medically necessary inpatient... View more
CA Business & Professions Code §511.1(c)
August 28, 2020 5:46 pmBeginning July 1, 2000, a payor, as defined in subparagraph (B) of paragraph (3) of subdivision (d), shall do all... View more
CA Evidence Code §641
August 28, 2020 5:33 pmA letter correctly addressed and properly mailed is presumed to have been received in the ordinary course of mail.
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 §10123.13(a)
August 29, 2020 6:01 am“Every insurer issuing group or individual policies of health insurance that covers hospital, medical, or surgical expenses, including those telehealth... 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(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