31 Pa. Code §154.12(a)
October 15, 2021 5:45 am(a) Managed care plans shall permit enrollees direct access to obstetrical and gynecological services for maternity and gynecological care, including... View more
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31 Pa. Code §154.14(e)(1)(a)
October 15, 2021 5:43 am(1) If the enrollee is admitted to a hospital or other health care facility, the emergency health care provider shall... View more
31 U.S.C § 3902 (a-c)
May 15, 2020 3:27 pm(a) Under regulations prescribed under section 3903 of this title, the head of an agency acquiring property or service from... View more
37 Fla. Stat §627.6131(6)
August 8, 2021 3:16 am(6) If a health insurer determines that it has made an overpayment to a provider for services rendered to an insured,... View more
37 Fla. Stat §627.6131(6)(a)(2-3)
August 17, 2021 5:41 pm(6) If a health insurer determines that it has made an overpayment to a provider for services rendered to an... View more
37 Fla. Stat §627.6131(6)(a)(2)
August 8, 2021 3:17 am(2) A provider that denies or contests a health insurer’s claim for overpayment or any portion of a claim shall... View more
37 Fla. Stat §641.513(3)(b-c)
August 8, 2021 2:27 am(b) If a determination has been made that an emergency medical condition exists and the subscriber has notified the hospital, or... View more
37 Fla. Stat §641.513(3)(c)
August 17, 2021 6:17 pm(c) If the subscriber’s primary care physician responds to the notification, the hospital physician and the primary care physician may... View more
37 Fla. Stat. §627.613(2)
August 8, 2021 1:32 am(2) Health insurers shall reimburse all claims or any portion of any claim from an insured or an insured’s assignees,... View more
37 Fla. Stat. §627.6131(7)
August 8, 2021 1:39 am(7) Payment of a claim is considered made on the date the payment was mailed or electronically transferred. An overdue payment... View more