RI Gen L § 27-41-64(d)
October 15, 2021 5:34 am(d) A health care entity or health plan which fails to reimburse the health care provider or policyholder after receipt... View more
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RI Gen L § 27-41-69(a)
October 15, 2021 5:32 am(a) Except as otherwise provided herein, any review, audit, or investigation by a health maintenance organization of a healthcare provider’s... View more
RI Gen L § 27-41-79(c)(1)
October 15, 2021 5:33 am(c) A health maintenance organization shall provide coverage for emergency services in the following manner: (1) Without the need for... View more
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
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