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- Health Plans
Medical Legal Library | March 21, 2018
#7007 - Retaliation by Managed Care Plans or Others
There are a number of laws that protect physician “whistleblowers” under a variety of ci...
Medical Legal Library | June 13, 2017
#7150 - Access to Physicians
The following is a discussion of California and federal laws that require access to primary care phy...
Medical Legal Library | June 13, 2017
#7156 - Medical Directors Utilization Review and the Practice of Medicine
Physicians often ask about the obligations of medical directors. Some of these obligations are discu...
Medical Legal Library | June 9, 2017
#7500 - Assignment of Benefits
An “assignment of benefits” enables a physician who has provided services to an insured ...
Medical Legal Library | June 9, 2017
#7501 - Bankruptcy of IPAs or Health Plans
The following questions and answers apply to physicians faced with the bankruptcy of a health plan, ...
Medical Legal Library | June 9, 2017
#7514 - Health Plan Special Claims Review
The following is some general information concerning the ability of a health plan to place physician...
Medical Legal Library | June 9, 2017
#7513 - Silent PPO Action Guide
Some physicians’ bills are being discounted when the physicians believe they never agree...
Medical Legal Library | June 7, 2017
#4202 - Health Plan Access to Medical Records
Physicians frequently receive requests for confidential patient health information from health plans...
Medical Legal Library | June 2, 2017
#0404 - Electronic Funds Transfer (EFT)
In an effort to achieve uniformity in the implementation of electronic transactions, the Patient Pro...
Downloads | March 13, 2011
Payor Solvency Checklist
CMA has recently received calls from physicians concerned that some of the entities with whom they c...