Displaying 1 - 15 of 1311 results
State Law
Code of Alabama 1975-Title 27-Chapter 1. General Provisions
Limitation periods for payment of claims; overdue claims; retroactive denials, adjustments, etc.; penalties.
Claims Filing Deadlines, Prompt Payment Deadlines, Retroactive Denial, Overpayments / Recoupments
State Law
Code of Alabama 1975-Title 27-Chapter 3A. Health Care Service Utilization Review Act
Standards for utilization review agents
State Medical Necessity Appeals-Deadlines, State Medical Necessity Decisions-Deadlines
State Law
Alabama State Board of Health Department of Public Health-Chapter 420-5-6. Health Maintenance Organizations
Assurance Of Access To And Continuity Of Care
Prompt Payment Deadlines, Network Adequacy, State Medical Necessity Decisions-Deadlines
State Law
Alabama State Board of Health Department of Public Health - Chapter 420-5-6. Health Maintenance Organizations
Provider contracts
Fee Schedules, Risk—Physicians Taking
State Law
Alabama Department of Insurance-Admin. Code-Chapter 482-1-079. Health Maintenance Organizations Generally
Limitation Period For Payment Of Claims Under Health Maintenance Organization Contracts
Prompt Payment Deadlines
State Law
Alabama Code of 1975-Title 8-Chapter 1-Article 10. Restrictive Covenants
Void Contracts; Contracts Allowed to Preserve Protectable Interests; Protectable Interests; Requirements; Voidable Restraints; Burden of Proof; Remedies and Defenses; Professional Exemptions; Legislative Intent; Application
Restrictive Covenants
State Law
Alaska Statutes-Title 21-Chapter 07. Patient Protections Under Health Care Insurance Policies
Patient and health care provider protection
Anti-gag clause, Anti-retaliation, Termination, Participation in Products, Plans, or Networks, Fee Schedules, Liability-insurer shifting to physician, Most Favored Nation, Prohibited financial incentives
State Law
Alaska Statutes-Title 21-Chapter 07. Patient Protections Under Health Care Insurance Policies
Required contract provisions for health care insurance policy
Retroactive Denial
State Law
Alaska Statutes-Title 21-Chapter 07. Patient Protections Under Health Care Insurance Policies
Choice of health care provider
Continuity of Care Post-Contract
State Law
Alaska Statutes-Title 21-Chapter 36. Trade Practices and Frauds
Prompt payment of health care insurance claims
Prompt Payment Deadlines
State Law
Alaska Statutes-Title 21-Chapter 86. Health Maintenance Organizations
Prohibited practices
Anti-gag clause, Termination, Prohibited financial incentives
State Law
Alaska Admin. Code-Title 3-Part 2-Chapter 26. Trade Practices
Additional standards for prompt, fair, and equitable settlements of health claims
Overpayments / Recoupments, Payment Edits
State Law
Alaska Admin. Code-Title 3-Chapter 28-Article 10. Utilization Review and Benefit Determinations
Operational requirements
U.R. Criteria
State Law
Alaska Admin. Code-Title 3-Chapter 28-Article 10. Utilization Review and Benefit Determinations
Procedures for standard utilization review and benefit determinations
Retroactive Denial, State Medical Necessity Decisions-Deadlines
State Law
Alaska Admin. Code-Title 3-Chapter 28-Article 10. Utilization Review and Benefit Determinations
Procedures for expedited utilization review and benefit determinations
State Medical Necessity Decisions-Deadlines