Legal Docs
Miscellaneous
Summons and Complaints WI
Summons and Complaints OH
P&P Bundled Updates
100
The following states are handled by this member of in-house counsel AL, AZ, CT, DC, DE, FL, GA, KY, MA, MD, ME, MI, MS, NC, NH, NJ, NY, OH, PA, PR, RI, SC, TN, VA, VI, VT, WI, WV
Who is Danny Goldberg?
100
This individual won a 12 pound turkey for wearing clothing that reflected her holiday spirit
Who is Lisa Dellemann?
100
Attorney Matthew Mayer, who handles most of our cases referred to outside counsel in Wisconsin, works for this law firm
What is Mallery & Zimmerman?
100
This document provides guidance on how to refer a case to outside counsel when necessary
What is the Retention of Outside Legal Counsel Policy and Procedure?
100
The sender of the "Publication of Operations Documentation" e-mails (or P&P bundled updates)
Who is Ginny (Virginia) Nord?
200
UnitedHealth Group's policy which requires that it be no longer than "one breath" from the time you learn of a sensitive or serious situation to the time you report it
What is the "One Breath" policy?
200
Aimee Taylor was featured in an article in this company newsletter
What is PCM Unwrapped?
200
In these instances, we typically ask a paty to represent our interest in exchange for a fee
What is a case less than $1,000 where there are no pending claims and/or the member has completed treatment and/or the coverage has terminated?
200
This letter is used to confirm our agreement with the paty if the paty agrees to represent our interest in exchange for a fee
What is the PATY Retention Letter?
200
This field in the Medical Payment screen reflects the the date the list of claims was last updated either electronically or manually
What is "Last Claims Update"?
300
Upon receipt of new legal documents when outside counsel has already been retained, the legal documents should be sent directly to this individual
Who is outside counsel? (Who is Matt Mayer, Who is Tim Dolata, Who is Kreiner & Peters)
300
PCM is an acronym for this division of Ingenix that subrogation recovery rolls into
What is Payment Cycle Management?
300
These documents are attached to the SECURE e-mail sent to outside counsel when we refer a case to Matthew Mayer for handling
What is the Summons & Complaint, MPS, Plan Language and cover letter?
300
This individual is accountable for the day to day management of the file and must be aware of the actions taken by outside counsel once the case is referred to outside counsel
Who is the analyst?
300
A template e-mail sent to a Contract Administrator that will simplify the request of this document
What is an SPD? (or Summary Plan Description)
400
These individuals have authority to sign a release
Who is a business manager, site leader or site manager?(Who is Dena Slack or Cara Blankenburg?)
400
Diane Halseth's boss
Who is Eric Paul or Steve Suter?
400
All legal, strategic and tactical work by outside counsel must be approved by these individuals
What is in-house counsel?
400
This law firm typically handles cases where we must retain outside counsel
What is Kreiner & Peters?
400
Cases listed in this status will not transfer using Mass Case Reassignment or through Case Specialization
What is settled?
500
All legal documents must be brought to the attention of a business manager and legal counsel within this amount of time
What is ONE business day?
500
The CEO of Ingenix.
Who is Andy Slavitt?
500
We lose our right to assert our subrogation interest if we do not provide an Answer to the court within this amount of time after being served with the Summons and Complaint on a fully insured case
What is 45 days?
500
We lose our right to assert our subrogation interest if we do not provide an Answer to the court within this amount of time after being served with the Summons and Complaint
What is 28 days?
500
The action taken before quoting the amount owed to our client
What is RAC or manual claim update?
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