Aug. 23, 2024
DMHC APL Updated Advisory – Provider Feedback Requested
Dear Provider Members, Our office has been actively pursuing the resolution of claims on your behalf for post-stabilization care and... View Article
Jul. 2, 2024
APL 24-012 – Single Point of Contact for Hospitals to Request Authorization for Poststabilization Care
FROM THE OFFICE OF THE CALIFORNIA DEPARTMENT OF MANAGED HEALTH CARE: ALL PLAN LETTER DATE: June 25, 2024 TO: All... View Article
Jul. 2, 2024
ADVISORY NOTICE: AUTHORIZATION REQUESTS FOR POST-STABILIZATION CARE
Dear Provider Members, Our office has been actively pursuing the resolution of claims on your behalf for post-stabilization care and... View Article
Jan. 31, 2024
Letter to the OIG on “Non-Interference” Policy
Esteemed Provider Members, Here at ERN/TRAF, we advocate every day for you, your providers, and patients. Our advocacy takes many... View Article
Oct. 25, 2023
DHMC Advises Requirements for Requesting Authorization for Post-Stabilization Care
Dear Provider Members, Our office has been actively pursuing the resolution of claims on your behalf for post-stabilization care we... View Article
Jun. 29, 2022
Obtaining Authorization While Patient Is In House
MYTH: MA Plans are not required to respond to an inpatient authorization request. FACT: MA Plans ARE required to respond to an inpatient authorization... View Article
Apr. 6, 2019
Community Rallies Around Yorba Linda Teen in Need of Operation
ERN in the news! This morning, I saw this piece aired by Channel 5 of a young boy we successfully... View Article
Dec. 4, 2018
How to Challenge Improper Denials of Emergency and Post-Stabilization Services
INTRODUCTION As a provider in the acute medical setting, you have undoubtedly experienced the difficulty in obtaining prompt reimbursement for... View Article
Feb. 27, 2018
Can an HMO make a medical decision without looking at medical records?
Sometimes you are the only thing that stands between the single crushing blow of HMO and a patient or provider.... View Article
Dec. 8, 2017
24 Hour UM Access
Hello, you have reached the UM Department. We are open Monday through Friday, 8 a.m. to 5 p.m. Please leave... View Article
