HEAU Appeals and Grievances Cases - Maryland Attorney General

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Cases may be filed on behalf of patients by providers, parents, relatives or other agents of patients. The above chart indicates who filed cases with HEAU. This chart shows the outcome of Appeals and Grievances Cases mediated by HEAU during FY 2007. Cases resulting in carriers overturning or modifying adverse decisions have been combined for this chart. 29
Carriers may issue adverse decisions before (pre-authorization), during (concurrent) or after (retrospective) treatment. This chart indicates when the adverse decisions were issued in Appeals and Grievances Cases mediated by HEAU during FY 2007. This chart shows the outcomes of Appeals and Grievances Cases mediated by HEAU during FY 2007. 30
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 23 and 24: During FY 2007, MIA determined that
Page 25 and 26: MIA Appeals and Grievances Complain
Page 30 and 31: The HEAU mediates several types of
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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