Sec. 69-10.3. Claims assistance manager

Latest version.

Duties of the claims assistance manager shall include, but not be limited to, the following:
(a) answering questions regarding the information and documentation needed for completion of the application process;
(b) handling any issues raised about alleged delays by the fund administrator in processing applications, claims, reviews of claim denials, prior approval initial determinations, and prior approval reviews; and
(c) assisting in resolving any issues involving enrollees and case managers or the assignment of case managers.

                    
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