1710 search results for Out

First Amending Petition (filed 11-29-16) Donelon v. Shilling (added actuaries) (00587335xC312F)

https://ldi.la.gov/docs/default-source/documents/financialsolvency/receivership/Louisiana-Health-Cooperative/first-amending-petition-(filed-11-29-16)-donelon-v-shilling-(added-actuaries)-(00587335xc312f).pdf?sfvrsn=4c5e7452_6

inadequate oversight of contracts with outside vendors, including CGI and GRI; e. Lack of regularly, and timely; k. Gross failure to properly calculate member out-of-pocket responsibilities resulting, was woefully not prepared for its roll-out to the public on January 1, 2014. 34. By approximately March 2014, just three (3) months after its ill-advised roll-out, the D&O Defendants compounded, as may be later discovered. 45. As of March 2014, just three (3) months after its roll-out, LAHC

E44-1 - Exhibits to Oppositions to Exceptions

https://ldi.la.gov/docs/default-source/documents/financialsolvency/receivership/louisiana-health-cooperative/lahc/e44-1---exhibits-to-oppositions-to-exceptions.pdf?sfvrsn=20884c52_2

with outside vendors, including CGI and GRJ; e. Lack ofregularly scheduled and meaningful meetings, calculate member out-of-pocketresponsibilities resulting in members being over-billed, of the grossly negligent conduct of the D&O Defendants, LAHC was woefully not prepared for its roll-out, -advised roll-out, the D&O Defendants compounded an already bad situation by deciding to replace CGI, (3) months after its roll-out, LAHC described the system designed and implemented by CGI

E43-1 - Exhibits to Oppositions to Exceptions

https://ldi.la.gov/docs/default-source/documents/financialsolvency/receivership/louisiana-health-cooperative/lahc/e43-1---exhibits-to-oppositions-to-exceptions.pdf?sfvrsn=24884c52_2

with outside vendors, including CGI and GRJ; e. Lack ofregularly scheduled and meaningful meetings, calculate member out-of-pocketresponsibilities resulting in members being over-billed, of the grossly negligent conduct of the D&O Defendants, LAHC was woefully not prepared for its roll-out, -advised roll-out, the D&O Defendants compounded an already bad situation by deciding to replace CGI, (3) months after its roll-out, LAHC described the system designed and implemented by CGI

E45-1 - Exhibits to Oppositions to Exceptions

https://ldi.la.gov/docs/default-source/documents/financialsolvency/receivership/louisiana-health-cooperative/lahc/e45-1---exhibits-to-oppositions-to-exceptions.pdf?sfvrsn=70884c52_2

with outside vendors, including CGI and GRJ; e. Lack ofregularly scheduled and meaningful meetings, calculate member out-of-pocketresponsibilities resulting in members being over-billed, of the grossly negligent conduct of the D&O Defendants, LAHC was woefully not prepared for its roll-out, -advised roll-out, the D&O Defendants compounded an already bad situation by deciding to replace CGI, (3) months after its roll-out, LAHC described the system designed and implemented by CGI

K118 - Motion for Admission Pro Hac - Margolis - Milliman - 3 12 18

https://ldi.la.gov/docs/default-source/documents/financialsolvency/receivership/louisiana-health-cooperative/lahc/k118---motion-for-admission-pro-hac---margolis---milliman---3-12-18.pdf?sfvrsn=63824c52_2

; -------------- The outcome of the proceeding:---------------------- (A copy of any such Judgment or Order, the preceding two years; the date of each application; and the outcome of the application. None 14, an exemption is applicable); (3) the out-of-state attorney is "temporarily present in this state" pursuant, of counsel for a party may not be signed solely by the out-of-state attorney, but also must bear

2018 LHCC Report to the Legislature

https://ldi.la.gov/docs/default-source/documents/health/lhcc/reports/2018-lhcc-report-to-the-legislature.pdf?sfvrsn=9be24852_0

to the Legislature MEETINGS • HB 642 - Sets out the requirements for the bail bonds apprentceship, of the setlement of out-of-network health beneft claims involving balance billing that occurs whenever going, rovides relatve to out-of-network balance billing. • HB 689 – Provides for coverage for fertlity, to deliver a high quality of care that results in a more predictable outcome. When looking at the future, is to deliver beter populaton health outcomes and beter patent experience with lower costs by providers

June 2015

https://ldi.la.gov/consumers/resources-publications/consumer-advocacy/newsletters/june-2015

citizens in Louisiana. To find out if Consumer Advocacy will be in your area or to request, you know how much you were responsible for paying out of pocket? What about the flood damage to your, Flood Insurance Program (NFIP). You can find out more information about the NFIP, home, putting you out of contact with your regular doctors and pharmacists. Before severe weather, . Identify your network hospital. Find out from your provider what coverage your plan provides when

Reg49-Cur-BillingAuditGuidelin

https://ldi.la.gov/docs/default-source/documents/legaldocs/regulations/reg49-cur-billingauditguidelin.pdf?sfvrsn=88c27352_6

outlined in §2307 of this regulation. C. Use of the HCFA approved Form UB92 shall be effective July, that outlined herein. Also, each party shall make reasonable provisions to accommodate circumstances, documents clinical data on diagnoses, treatments, and outcomes. It was not designed to be a billing

Reg60-Cur-AdvertisingOfLifeIns

https://ldi.la.gov/docs/default-source/documents/legaldocs/regulations/reg60-cur-advertisingoflifeins.pdf?sfvrsn=6d2f4952_20

r the reductio n o f death benefits by the amo u n t of outstandin g p o licy loans is unfair

Rule45-Cur-SuspensionOfCertainS

https://ldi.la.gov/docs/default-source/documents/legaldocs/rules/rule45-cur-suspensionofcertains.pdf?sfvrsn=3ede4e52_12

by the insured. C. All health insurance issuers shall waive any and all restrictions relative to out, -outages, and severe damage to Louisiana; WHEREAS, the State of Louisiana suffered severe damage, eligibility be reduced for each semester attended full time at an out of state institution, as set, the impact of disaster-related claims will not be charged against the employer's account. To send out