Virginia Premier Health Plan
Case ID | Date | Points | Issue Type | Description |
19807 | 1/6/2020 | 5 | Claims | Inappropriate denial of claims. |
19472 | 9/21/2020 | 5 | Reporting | Failure to submit required reports. |
19247 | 8/13/2019 | 10 | Claims | Untimely claims payment. |
19070 | 5/4/2018 | 5 | Claims | Developmental Disability (DD) Waivers authorization and claims payments. |
19069 | 5/4/2018 | 10 | Authorization | Service authorization turnaround times. |
19068 | 5/4/2018 | 10 | Authorization | Untimely continuity of care authorizations. |
19067 | 5/4/2018 | 5 | Claims | Untimely claims payment. |
19066 | 5/4/2018 | 10 | Care Coordination | Inaccurate Level of Care (LOC) assessment and failure to provide necessary services. |