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Meeting health plan authorization, precertification, or other requirements often looms as a problem area for health care provider organizations, often because, for some reason, front-end employees are scared or nervous about calling insurance companies and obtaining authorizations....
For each claim, information was manually extracted following a pre-determined codebook to create a novel database of key variables, including the claimant's illness, the healthcare treatments requested by the claimant, whether the treatment had marketing authorization by ANVISA (the medical products ...
House Bill2713, on the other hand, would give providers an avenue for reliefby: requiring insurers and HMO's to pay claims for health care services within 30 days after the insurer receives proofof loss; providing that if the payment isnot made, the provider may file a complaint with the...