The Claims Reference Guide provides information on the following:
- Claims and Medical Management Overview
- Initial Claims Reporting
- Interim Claims Reporting
- Medical Management Advisory Services
- Settlement of Claims
- Per-Occurrence Coverage
- Subrogation Waivers and Recoveries
- Reimbursement Request Procedures
- Reimbursable and Non reimbursable Benefits and Expenses
- Intervention in Legal Proceedings or Member Claims Management
Claims Reference Guide