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Ama Policy
Fair Market Practices H-285.981
03/13/2019
Credentialing-Due Process-Denial of Contract, Profiling, U.R. Criteria
Ama Policy
Managed Care H-285.998
01/03/2022
State Medical Necessity Decisions-Deadlines, U.R. Criteria
Ama Policy
The Critical Role of Physicians in Health Plans and Integrated Delivery Systems H-285.931
03/13/2019
U.R. Criteria
Ama Policy
Approaches to Increase Payer Accountability H-320.968
03/05/2021
State Medical Necessity Decisions-Deadlines, U.R. Criteria
Ama Policy
Third Party Payer Coverage Process Reform and Advocacy D-185.986
03/13/2019
Amendments, U.R. Criteria
Ama Policy
Emerging Trends in Utilization Management H-320.958
03/13/2019
U.R. Criteria
Ama Policy
Medical Necessity Determinations H-320.995
03/13/2019
U.R. Criteria
Ama Policy
Medical Necessity and Utilization Review H-320.942
09/02/2022
U.R. Criteria
Federal Law
Title 42-Chapter IV-Subchapter B-Part 422-Subpart E. Relationships with Providers
11/18/2024
42 CFR Section 422.202
Participation procedures
Amendments-Med. Adv., Termination-Due Process-Med. Adv., U.R. Criteria
Ama Policy
Prior Authorization and Utilization Management Reform H-320.939
12/30/2021
U.R. Criteria
