What Is The Department Doing To Resolve Some Of These Problems With Providers Not Getting Paid?
The Department is monitoring carefully all complaints submitted by providers regarding problems with health plans and payors. We look for patterns or systemic problems and address them with individual health plans or payors through a number of oversight tools, including financial audits and medical surveys. Additionally, we can and will take enforcement action against health plans found to violate the law.
The Department is monitoring carefully all complaints submitted by providers regarding problems with health plans and payors. We look for patterns or systemic problems and address them with individual health plans or payors through a number of oversight tools, including financial audits and medical surveys. Additionally, we can and will take enforcement action against health plans found to violate the law. To date the Provider Complaint unit has recovered more than $20,000,000 in reimbursements for providers.
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- What Is The Department Doing To Resolve Some Of These Problems With Providers Not Getting Paid?
