Emergency Services 4. Not Medically Necessary 5. Pre-Existing Condition 6. Excluded Benefit 7. Billing Dispute 8. Contract Interpretation 9. Enrollment/Disenrollment 10. Termination of Contract 11. Services after termination 12. Unauthorized out of plan svcs 13. Unauthorized in-plan svcs 14. Benefits available in plan 15. Experimental/ Investigational 99. Other APP_DATE 10 62 71 The date of the appeal (MM/DD/CCYY) APP_ACTION 1 72 72 The type of action (42 CFR 438.400):
Appears in 4 contracts
Samples: Health Care Services Contract (Wellcare Health Plans, Inc.), Ahca Contract No. Far001 (Wellcare Health Plans, Inc.), Ahca Contract No. Far009 (Wellcare Health Plans, Inc.)
Emergency Services 4. Not Medically Necessary 5. Pre-Existing Condition 6. Excluded Benefit 7. Billing Dispute 8. Contract Interpretation 91. Enrollment/Disenrollment 102. Termination of Contract 113. Services after termination 124. Unauthorized out of plan svcs 135. Unauthorized in-plan svcs 146. Benefits available in plan 157. Experimental/ Investigational 998. Other APP_DATE 10 62 71 The date of the appeal (MM/DD/CCYY) APP_ACTION 1 72 72 The type of action (42 CFR 438.400):
Appears in 2 contracts
Samples: Standard Contract (Wellcare Health Plans, Inc.), Standard Contract (Wellcare Health Plans, Inc.)
