Section 69-10.3 - Claims Assistance Manager

69-10.3 Claims Assistance Manager.

Duties of the claims assistance manager shall include, but not be limited to, the following:

(a) answering questions regarding the information and documentation needed for completion of the application process;

(b) handling any issues raised about alleged delays by the Fund Administrator in processing applications, claims, reviews of claim denials, prior approval initial determinations, and prior approval reviews; and

(c) assisting in resolving any issues involving enrollees and case managers or the assignment of case managers.

Effective Date: 
Wednesday, June 18, 2014
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