Section 69-10.3 - Claims Assistance Manager
Effective Date
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.