Mo. Rev. Stat. §376.1367(4)
October 15, 2021 5:11 am(4) When an enrollee receives an emergency service that requires immediate post evaluation or post stabilization services, a health carrier... View more
(4) When an enrollee receives an emergency service that requires immediate post evaluation or post stabilization services, a health carrier... View more
(6)(1) If the health carrier has not paid the claimant on or before the forty-fifth processing day from the date... View more
(1) All health carriers shall: (3) Not request a refund or offset against a claim more than twelve months after... View more
(c) All determinations shall be made on a timely basis, as required by the exigencies of the situation. (1) An... View more
(c) All determinations shall be made on a timely basis, as required by the exigencies of the situation. (1) An... View more
(d) An HMO shall not reverse a utilization management decision where the provider relied upon the written or oral authorization... View more
(4) The health carrier or its agent shall communicate the results of the internal review in a written decision to... View more
(a) A carrier and its agent shall remit payment of clean claims pursuant to the following time frames: (1) Thirty... View more
(c) If the carrier or its agent fails to pay a clean claim within the time limits set forth in... View more
(b) A health carrier or its agent may request reimbursement for the overpayment of a claim only if the health... View more