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31 Jan 2013, 6:00 am by Michael B. Stack
  If you see multiple reasons to question the validity of a claim, the insurance adjuster and the special investigative unit of the insurer should be notified as to why you believe the claim to be questionable. [read post]
25 Sep 2019, 4:00 am by Public Employment Law Press
For the remaining six contracts, for which ITS paid out more than $156 million, there were deficiencies in contract monitoring – primarily of contractors’ reporting and documentation requirements.Department of Labor: Examination of Unemployment Insurance Benefit Payments Jan. 1, 2018 – Dec. 31, 2018 (2019-UI-1)Auditors identified 2,115 unemployment insurance overpayments totaling $788,487. [read post]
25 Sep 2019, 4:00 am by Public Employment Law Press
For the remaining six contracts, for which ITS paid out more than $156 million, there were deficiencies in contract monitoring – primarily of contractors’ reporting and documentation requirements.Department of Labor: Examination of Unemployment Insurance Benefit Payments Jan. 1, 2018 – Dec. 31, 2018 (2019-UI-1)Auditors identified 2,115 unemployment insurance overpayments totaling $788,487. [read post]
Specialty pharmacies should understand their contractual obligations to commercial insurers with respect to copay coupons, and provide training to pharmacy staff on any contractual restrictions on accepting copay coupon from patients covered by certain insurance plans. 3. [read post]
17 Jun 2017, 8:15 am by The Public Employment Law Press
However, auditors found higher earners with apartments and several areas that could use improvement.New York State Health Insurance Program: United HealthCare (UHC): Insurance Company of New York Empire Plan Drug Rebates (Follow-Up) (2017-F-6)An initial audit report issued in December 2015, identified $710,284 in rebate revenues from agreements with 114 drug manufacturers that were not credited to the state Department of Civil Service from Jan. 1, 2011 through Dec. 31,… [read post]
25 Apr 2007, 11:22 am
Once a fraud does occur, the costs in earnings, manpower, possibly hostile litigation, higher insurance premiums, and corporate credibility are hard to contain. [read post]
26 Apr 2022, 7:48 am by Paul Stephan
Weltover, Inc., stated that because the government measure in question had satisfied due process, it had no need to decide whether the Constitution compelled this. [read post]