VA Website Blurb – Contact the VA After Receiving ER Care
September 3, 2020 4:28 am“Once a Veteran’s immediate emergency medical care needs have been addressed, the Veteran, a family member, friend, or hospital staff... View more
Archives
Valley View Home of Beaumont, Inc. v. Department of Health Services (1983) 146 Cal.App.3d 161
August 28, 2020 5:47 pm“Notwithstanding the fact that medical services for Valley View’s disabled patients were medically necessary during the periods in question, the... View more
VHA Directive 2010-005(4)(b)(6)
May 23, 2020 6:32 pmNinety percent of all non-VA health care claims are processed within 30 days of receipt of the claim at the... View more
VHA Handbook 1330.03(2.)(d.)
September 5, 2020 4:59 pm2. Authority d. Pursuant to 38 U.S.C. § 1786, VA may provide newborn health care services, for up to but... View more
WAC 284-170-431
January 22, 2025 12:58 am(2)(a) For health services provided to covered persons, a carrier shall pay providers and facilities as soon as practical but... View more
WAC 284-170-431 (2)(d)
January 22, 2025 12:40 amAny carrier failing to pay claims within the standard established under subsection (2) of this section shall pay interest on... View more
WAC 284-170-431 (e)(4)
January 22, 2025 12:46 am(4) Denial of a claim must be communicated to the provider or facility and must include the specific reason why... View more
WAC 284-43-2000 (7)(c)(ii)
January 22, 2025 12:47 am(ii) Whenever there is an adverse determination the issuer must notify the provider or facility and the enrollee. The issuer... View more
WAC 284-43-2050 (10)(a)(i-ii)
January 22, 2025 12:39 am(10) The time frames for carrier prior authorization determination and notification to a participating provider or facility are as follows:... View more
WAC 284-43-3070 (1-2, 4-8)
January 22, 2025 12:48 am(1) A carrier must notify enrollees of an adverse benefit determination either electronically or by U.S. mail. The notification must... View more