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PRIRA Cases
More archives for PRIRA Cases:
2013 | 2012 | 2011 | 2010 | 2009 | 2008 | 2007 | 2003 | 2002
2013 - May - April - March - February - January
May
 21 - HAP 133457; Facility Charge; Deductible
 21 - Golden Rule 133057; Emergency Care and Substance Abuse
 21 - BCBSM 133142; Exclusion; Mental Health Treatment
 20 - Priority Health 133356; Dental Care Waiting Period
 20 - BCBSM 133056; Emergency Dental Care
 16 - BCBSM 133275; ABA Therapy; Eligible Provider
 16 - BCBSM 133332; Policy Exclusion; Durable Medical Equipment
 16 - BCBSM 133295; Out-of-Network Services; Preventive Care
 16 - BCBSM 133277; Policy Exclusion; Immunization
 13 - BCBSM 133284; Deductible; MRI
 13 - BCBSM 132962; Medical Necessity; IV Sedation
 13 - Priority Health 132684; Deductible; Laboratory Tests
 08 - BCBSM 131768; Claim Overpayment; Recovery
 07 - BCBSM 131445; Preventive Care; Cost Sharing
 07 - BCBSM 133143; Policy Limitation; Dental Care
 07 - BCBSM 133145; Amount Paid; Deductible
 06 - BCBSM 133085; Policy Exclusion; Dental Treatment
 02 - Priority Health 132720; Drug Formulary Exception
 02 - Guardian Life 132757; Medical Necessity; Crown and Onlay
 01 - BCBSM 132958; Covered Benefit; Preventive Care; Lab Tests
 01 - BCBSM 132963; Pre-Existing Condition; Waiting Period
April
 30 - BCBSM 132928; Medical Necessity; CPAP Machine
 26 - BCBSM 132518; Experimental Investigational Asthma Treatment
 26 - Aetna Life 132479; Experimental Investigational Test
 26 - BCBSM 132756; Covered Benefits; Amount Paid
 25 - BCBSM 132319; Covered Benefit; Contraceptive Device
 24 - Priority Health 132885; Out-of-Network Service
 24 - Golden Rule 132848; Policy Limits; Dental Care
 23 - Priority Health 132749; Out-of-Network Surgery
 19 - BCBSM 132719; Experimental Treatment
 19 - BCN 132448; Policy Exclusions; Speech Therapy
 17 - BCBSM 132199; Formulary Drug Exception
 17 - Ameritas Life 132359; Medical Necessity; Core Build-Up
 17 - Guardian Life 132361; Dental Necessity; Crown Build-Up
 16 - BCBSM 132517; Durable Medical Equipment
 16 - BCBSM 132680; Policy Exclusion; Drug Coverage
 15 - BCBSM 132412; Deductible; Waiting Period
 15 - HAP 132511; Covered Benefit; Dental Care
 15 - Aetna Life 131098; Deductible; Medical Test
 12 - BCBSM 132365; Covered Benefit; Durable Medical Equipment
 11 - BCBSM 132173; Covered Benefit; Nonformulary Drug
 11 - BCBSM 132227; Investigational Treatment
 09 - Golden Rule 132317; Amount Paid; Defining Reasonable and Customary
 09 - BCBSM 132346; Covered Benefit; Acupuncture
 09 - BCBSM 132385; Policy Exclusion
 04 - BCBSM 131475; Out-of-Network Emergency Dental Care
 02 - Humana 131480; Out-of-Network Services
 02 - BCBSM 132364; Covered Benefits; Office Visit
March
 27 - Humana 132239; Calculation of Deductible
 27 - BCBSM 132202; Deductible; Preventive Care
 27 - BCBSM 132225; Application of Deductible and Co-Insurance
 25 - BCN 132084; Experimental Surgery
 25 - Magellan Behavioral 132141; Medical Necessity; Residential Substance Abuse Treatment
 25 - BCBSM 131863; Medical Necessity; Medical Supplies
 25 - BCBSM 132062; Medical Necessity; Prescription Drug
 20 - Priority Health 131862; Pre-Existing Condition
 20 - BCBSM 132143; Policy Exclusion; Allergy Testing
 20 - Alliance Health 132203; Covered Benefit; Specialty Drug
 20 - BCBSM 132061; Pre-Existing Condition Limitation
 19 - Magellan Behavioral 127345; Covered Benefits; Chemical Dependency Treatment
 15 - BCBSM 131713; Substance Abuse Treatment; Medical Necessity
 12 - BCBSM 131954; Drug Coverage; Exclusion
 11 - BCBSM 132003; Covered Benefit; Bariatric Surgery
 08 - BCBSM 131624; Investigational Service; Heart Monitor
 08 - BCBSM 131714; Medical Necessity; Substance Abuse Treatment
 08 - BCBSM 131754; Pre-Existing Condition
 07 - BCBSM 131679; Policy Limits; Physical Therapy
 07 - BCBSM 131890; Nonparticipating Provider; Dialisis
 05 - 4 Ever Life Insurance 132226; Medical Necessity; Prescription Drug Coverage
 05 - BCBSM 131633; Experimental/Investigational; Medical Device
February
 28 - Priority Health 131382; Pre-Existing Condition; Cardiac
 28 - BCBSM 130855; Investigational Treatment; Spinal Surgery
 27 - Guardian Life 131588; Medical Necessity; Dental Crown
 27 - BCBSM 131586; Prescription Drug Coverage
 27 - Meridian Health 132130; Eligibility; Heart Surgery
 26 - Guardian Life 131452; Dental Necessity; Crown
 26 - BCBSM 131861; Nonparticipating Provider; Air Ambulance Service
 26 - BCBSM 131683; Covered Benefits; Laboratory Tests
 25 - BCBSM 131640; Covered Benefits; Nonpanel Mental Health Services
 25 - Lincoln National Life 131145; Dental Necessity; Crown Build-Up
 21 - BCBSM 131639; Covered Benefit; Allergy Test
 21 - BCBSM 131027; Covered Benefit; Residential Mental Health Treatment
 19 - Golden Rule 131353; Medical Necessity; Prophylactic Surgery
 14 - Priority Health 131634 Deductible
 13 - Guardian Life 131337; Dental Necessity; Periodontal Care
 13 - BCBSM 131232; Experimental/Investigational; Back Surgery
 12 - Aetna Life 131505; Claims Process; Deductible
 12 - BCBSM 131414; Deductible
 12 - BCBSM 131396; Covered Benefit; Office Visits
 08 - Madison National Life 131253; Medical Necessity; Medical Test
 08 - UnitedHealthcare 131892; Medical Necessity; Prescription Drug
 06 - BCBSM 131319; Prescription Drug; Quantity Limitation
 04 - Priority Health 131084 Drug Coverage; Formulary Exception
 04 - Guardian 131226; Medical Necessity; Crown and Crown Build-Up
 04 - Guardian 131173; Dental Necessity; Crown Replacement
 04 - BCBSM 131225; Deductible
 04 - BCBSM 131320; Policy Exclusion; Dental Care
 01 - PHP 131231; Medical Necessity; Genetic Testing
January
 29 - BCBSM 131276; Covered Benefit; Eligible Provider
 29 - HAP 131172; Non-Network Surgery
 28 - Golden Rule 131229; Covered Benefit; Dental Services
 28 - Molina 131107; Medical Necessity; CT Scan
 28 - BCBSM 130853; Eating Disorder; Residential Treatment
 28 - BCBSM 131170; Medicare Advantage; Complimentary Coverage
 28 - BCBSM 131272; Medical Necessity; Emergency Room Care
 24 - BCBSM 131169; Policy Exclusion; Screening
 16 - BCBSM 131017; Durable Medical Equipment
 16 - Priority Health 131075; Covered Benefit; Blephavoplasty
 16 - BCN 131108; Pre-Authorization Requirement; Surgery
 16 - MedImpact Healthcare 130912; Copayments; Exceptions
 10 - BCBSM 130701; Experimental/Investigational; Depression Treatment
 09 - BCBSM 130320; Application of Deductible & Copayments
 08 - Total Health Care 130624; Medical Necessity; mammoplasty
 08 - PHP 130926; Exclusion; Non-Network Service
 08 - HAP 130681; Experimental Treatment; Spine Surgery
 08 - PHP 130810; Medical Necessity; Osteoplasty
 08 - Priority Health 130565; Barriatric Surgery Correction
 04 - Priority Health 130875; Out-of-Network Tests
 04 - BCBSM 130911; Application of Deductible
 03 - BCBSM 130751; Non-Participating Provider
 03 - BCN 130566; Unauthorized Services
 03 - BCBSM 130812; Deductible; Diagnostic Services
 03 - BCBSM 130879; Out-of-Network; Substance Abuse Treatment
 03 - PHP 130877; Policy Exclusion; Dental Care
 02 - HAP 130415: Durable Medical Equipment
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