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Virginia Premier Health Plan


Case ID Date Points Issue Type Description
19807 1/6/2020 5 Claims Inappropriate denial of claims.
19472 9/21/2020 5 Reporting Failure to submit required reports.
19247 8/13/2019 10 Claims Untimely claims payment.
19070 5/4/2018 5 Claims Developmental Disability (DD) Waivers authorization and claims payments.
19069 5/4/2018 10 Authorization Service authorization turnaround times.
19068 5/4/2018 10 Authorization Untimely continuity of care authorizations.
19067 5/4/2018 5 Claims Untimely claims payment.
19066 5/4/2018 10 Care Coordination Inaccurate Level of Care (LOC) assessment and failure to provide necessary services.

 

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