You searched for - Managed Care Contracting

Payment Issues

Network Issues

Contract Changes / Disputes

Coverage / Utilization Review

Claims Processing

Search Results

Ama Policy

Medicare Advantage Plans D-330.923

03/14/2019

Amendments, Fee Schedules

Ama Policy

Prior Authorization Relief in Medicare Advantage Plans H-320.938

09/02/2022

Amendments, Retroactive Denial

Ama Policy

Third Party Payer Coverage Process Reform and Advocacy D-185.986

03/13/2019

Amendments, U.R. Criteria

Ama Policy

Requiring Third Party Reimbursement Methodology be Published for Physicians H-185.975

03/13/2019

Amendments, Fee Schedules, Payment Edits, Payment Rules, Rental Networks

Ama Policy

Amendments to Managed Care Contracts H-285.952

03/13/2019

Amendments, Continuity of Care Post-Contract

State Law

Arkansas Code-Title 23-Subtitle 3-Chapter 99-Subchapter 12. Healthcare Contracting Simplification Act

07/28/2023 Arkansas Section 23-99-1205

Contracting process

Amendments

State Law

Arkansas Code-Title 23-Subtitle 3-Chapter 99-Subchapter 12. Healthcare Contracting Simplification Act

07/18/2023 Arkansas Sections 23-99-1202

Definitions

Amendments, Most Favored Nation, Participation in Products, Plans, or Networks

State Law

Health and Safety Code-Division 2-Chapter 2.2. Health Care Service Plans-Article 6. Operation and Renewal Requirements and Procedures

08/29/2023 California Section 1375.7

Health Care Providers’ Bill of Rights

Amendments, Rental Networks, Termination

State Law

California Code of Regulations Title 28-Managed Health Care Division 1-The Department of Managed Health Care Chapter 2-Health Care Service Plans Article 8. Self-Policing Procedures

05/08/2025 California Section 1300.71

Claims Settlement Practices

Amendments, Fee Schedules, OON-Payment Issues, Overpayments / Recoupments, Payment Edits, Payment Rules, Prompt Payment Deadlines, Retroactive Denial

State Law

Insurance Code-Division 2-Part 2-Chapter 1. The Contract-Article 2. Transfer

07/31/2023 California Section 10133.66

Claims filing-overpayment-health insurers’ payment dislosure obligations

Amendments, Claims Filing Deadlines, Fee Schedules, Overpayments / Recoupments, Payment Edits, Payment Rules