HEAU Appeals and Grievances Cases - Maryland Attorney General

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When the MIA Appeals and Grievances Unit receives a written complaint, it reviews it to determine: • Is the carrier subject to state jurisdiction? • Does the complaint include a dispute of an adverse decision? Some cases are withdrawn or there is not enough information to complete the review. This chart details the outcomes of MIA’s review of cases during FY 2007. 19
During FY 2007, MIA determined that 600 complaints challenged adverse decisions made by carriers that were subject to state jurisdiction. Cases in which the patient had not exhausted the carrier’s internal grievance process were referred to HEAU. The remaining cases were either resolved by carriers during the review process or resulted in an MIA order. 20
Page 1 and 2: State of Maryland OFFICE OF THE ATT
Page 3 and 4: VI. Appendix.......................
Page 5 and 6: II. Overview of the Appeals and Gri
Page 7 and 8: HEAU’s 2003 Annual Report contain
Page 9 and 10: MIA Statistics FY 2007 In addition
Page 11 and 12: HEAU Statistics FY 2007 In addition
Page 13: Carrier Data Reported by Carriers F
Page 16 and 17: This chart describes the outcomes o
Page 18 and 19: This chart compares the percentage
Page 20: MIA Appeals and Grievances Complain
Page 25 and 26: MIA Appeals and Grievances Complain
Page 30 and 31: The HEAU mediates several types of
Page 32 and 33: Cases may be filed on behalf of pat
Page 34 and 35: HEAU Appeals and Grievances Cases T
Page 36: The above chart identifies the perc

HEAU Appeals and Grievances Cases - Maryland Attorney General

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