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Litigation

Feb. 26, 2016

Clinic sues state health agency for illegal delays

The California Department of Managed Healthcare has been accused of ignoring statutory fast-track deadlines for review of insurance coverage denials.

By America Hernandez
Daily Journal Staff Writer

A mental health and substance abuse clinic sued the California Department of Managed Health Care for what it calls illegal delays in reviewing expedited patient appeals of insurance coverage denials.

The agency, which regulates the HMO policies for 25 million residents, is supposed to independently review an insurer's decision not to provide coverage on an expedited basis in urgent medical...

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