denial of claim

The new rules require health plans to have internal procedures for patients to appeal the denial of claims.

All the House and Senate bills would address their needs by establishing new rights for patients to appeal the denial of claims for benefits.

He added that his investigation was focusing on "fraudulent denial of claims," which of course State Farm vehemently denies.

Free review of VA denials of claim and filing of appropriate responses.

The administrators of these plans know we cannot audit them or review their files to see if there is a pattern of inappropriate denial of claims.

Mr. Parker said the department bore no responsibility for the denial of claims because all cases were handled by a court-appointed third-party arbitrator.

But other companies say antifraud programs can, in fact, pay for themselves and, when operated competently, do not result in the denial of claims to honest policyholders.

Judges have repeatedly held that the law does not allow compensation for lost wages, death or disability, or pain and suffering caused by the improper denial of claims.

One vote would have given employers complete immunity against lawsuits by employees who challenged the denial of claims for health benefits; the other vote was on pulling the bill from the floor.

City officials acknowledged that denials of claims for the indigent had increased by 15 percent in the last year, but said it was only the result of the proper enforcement of regulations.

An Independent Body As the Montgomery-Solomon bill stands now, it would allow veterans to challenge denials of claims before a new appeals board that would be independent of the V.A.

The Court of Appeals, in an opinion authored by Judge Thorne, affirmed the trial court's granting of summary judgement on a partition of jointly owned real property and denial of claims for "owelty."

Representative Harley O. Staggers Jr., a West Virginia Democrat, said that Dr. Roper and his agency had been "evasive and misleading" when they denied having set numerical goals for the denial of claims for home health care benefits under Medicare.

The Sri Lankan government on April 1 issued a denial of claims that its navy had shot at two Indian fishing trawlers in the prawn-catching area off the north of the island on March 11 and 16; seven people were still missing after the latter incident.