Find all American Medical Association House of Delegates policies and Council on Ethical and Judicial Affairs ethical opinions applicable to managed care contracting and the relationship between contracted physicians and health insurers and other payers.
Benefits and beneficiary protections
Expediting certain reconsiderations
Timeframes and responsibility for reconsiderations
How an MA organization must effectuate standard reconsidered determinations or decisions.
How an MA organization must effectuate expedited reconsidered determinations