hamburger-menu
To search for an exact phrase, you should enclose the entire phrase in quotation marks. For example, "patient care".
Filter

FILTERS

State

Payment Issues

Network Issues

Contract Changes / Disputes

Coverage / Utilization Review

Claims Processing

Search Results

Ama Policy

Access to Specialists and Subspecialists in Managed Care Plans H-285.973

03/13/2019
Network Adequacy
Ama Policy

Health Insurance Safeguards H-285.911

03/13/2019
Network Adequacy
Ama Policy

Network Adequacy H-285.908

03/13/2019
Network Adequacy, Termination
Ama Policy

Managed Care Organization Reimbursement Formulas D-165.989

03/14/2019
Network Adequacy
ARC Advocacy Resources

Model Network Adequacy Model Bill

A red-lined version of the NAIC’s model bill to assist medical societies in states where the NAIC model has been introduced or where the medical society would like to propose network adequacy legislation.

Amendments, Anti-gag clause, Anti-retaliation, Continuity of Care Post-Contract, Credentialing-Patient Demographics, Directories, Model Legislation, Network Adequacy, Prohibited financial incentives, Termination
Ama Policy

Surgical Pathology in Managed Care H-285.937

10/14/2019
Network Adequacy
Ama Policy

Out-of-Network Care H-285.904

08/31/2022
Network Adequacy, OON-Payment Issues
State Law

Alabama State Board of Health Department of Public Health-Chapter 420-5-6. Health Maintenance Organizations

06/11/2020 Alabama Section 420-5-6-.06

Assurance Of Access To And Continuity Of Care

Network Adequacy, Prompt Payment Deadlines, State Medical Necessity Decisions-Deadlines
State Law

Arizona Admin. Code-Title 20-Chapter 6-Article 19. Health Care Services Organizations Oversight

06/15/2020 Arizona Section R20-6-1904

Health Care Plan

Network Adequacy
State Law

Arizona Admin. Code-Title 20-Chapter 6-Article 19. Health Care Services Organizations Oversight

06/15/2020 Arizona Section R20-6-1905

Geographic Area

Network Adequacy