KS Stat §40-4603(a)
October 15, 2021 6:31 am(a) A health benefit plan shall not deny coverage for emergency services if the symptoms presented by an insured and... View more
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LA City Ordinance (#185210)
August 28, 2020 5:41 pmLA City Ordinance #185210 sets “legal rates to be charged by all private ambulance companies in the City of Los... View more
Lauderdale Associates d.b.a. Alhambra Convalescent Hosp. v. California Department of Health Service Cal App 1d AO80227 (1998)
August 28, 2020 5:48 pmLauderdale Associates d.b.a. Alhambra Convalescent Hosp. v. California Department of Health Service Cal App 1d AO80227 (1998): “Health plans cannot... View more
LB77-The Ensuring Transparency in Prior Authorization Act Sec. (4)(5) eff 1/2026
September 10, 2025 10:51 pmSec. 4. (1) A utilization review agent shall ensure that all adverse determinations for prior authorization are made by a... View more
LB77-The Ensuring Transparency in Prior Authorization Act Sec. (7) (1)
September 10, 2025 10:31 pm(1) Prior to January 1, 2028, if a utilization review agent requires prior authorization of a health care service, the... View more
LB77-The Ensuring Transparency in Prior Authorization Act Sec. (7) (4)
September 10, 2025 10:32 pm(4) Health care services are deemed authorized if a utilization review agent fails to comply with the deadlines for making... View more
LB77-The Ensuring Transparency in Prior Authorization Act Sec. (9) (2);(10)(2)(a)
September 10, 2025 11:06 pmSec. 9. (2) A health carrier shall pay a contracted health care provider at the contracted payment rate for a... View more
MCL §500.2006(3)
October 15, 2021 7:05 am(a) A clean claim must be paid within 45 days after receipt of the claim by the health plan. A... View more
MCL §500.2006(4)(a)
October 15, 2021 7:04 am(a) A clean claim must be paid within 45 days after receipt of the claim by the health plan. A... View more
MCL §500.2213(j)
October 15, 2021 7:05 am(j) That when an adverse determination is made, a written statement containing the reasons for the adverse determination is provided... View more