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Complaint Subrogation Sample For Insurance In Contra Costa

State:
Multi-State
County:
Contra Costa
Control #:
US-000279
Format:
Word; 
Rich Text
Instant download

Description

The Complaint Subrogation Sample for Insurance in Contra Costa is a legal document used to initiate a case regarding the recovery of funds paid by an insurance company due to an accident involving an underinsured motorist. This form includes sections for identifying the parties involved, jurisdiction details, and the nature of the action. Users must fill out the names of the plaintiffs and defendants, relevant insurance policy numbers, and details of the incident, such as date and damages incurred. The form is especially useful for attorneys, partners, owners, associates, paralegals, and legal assistants who are handling cases involving subrogation rights and uninsured motorist claims. It serves to clarify the financial responsibilities among parties following an accident, ensuring that the insurance company can recover amounts paid on behalf of the insured. Proper filling and editing of this form require careful attention to jurisdictional statutes and the specifics of the insurance policy in question. The document emphasizes clarity in establishing the claims and liabilities which is crucial for successfully navigating court proceedings.
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  • Preview Complaint for Recovery of Monies Paid and for Declaratory Judgment as to Parties' Responsibility and Subrogation
  • Preview Complaint for Recovery of Monies Paid and for Declaratory Judgment as to Parties' Responsibility and Subrogation
  • Preview Complaint for Recovery of Monies Paid and for Declaratory Judgment as to Parties' Responsibility and Subrogation

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FAQ

Providers or the general public can contact Provider Relations at: providerrelations@cchealth or by calling 1-877-800-7423 option 6.

Contracting and non-contracting providers can contact Utilization Management at 1-877-208-4959 to request to obtain prompt authorization.

Contra Costa Health Plan offers managed care to Medi-Cal beneficiaries in Contra Costa County.

1-877-661-6230 Call if you have a medical problem or if you have a medical question. The Advice Nurse can tell you if you need to go to urgent care or the emergency room, give you self-care instructions, schedule a telehealth appointment with a doctor, and more!

Submitting Claims Claims received after 180 days will be denied for untimely filing.

CCHP is the primary managed-care provider for Medi-Cal beneficiaries in Contra Costa and we also manage smaller plans for county employees and IHSS homecare workers. Our members have access to hundreds of family medicine doctors and specialists in our provider networks.

The complaint involves a plan's decision to invoke an extension relating to an organization determination or reconsideration. The grievance involves a refusal by the plan to grant an enrollee's request for an expedited organization determination or expedited reconsideration.

Congressman Mark DeSaulnier (DE-SOWN-YAY) proudly represents California's 10th Congressional District, which includes much of Contra Costa County and a part of Alameda County.

Paper Claims Submission Please send your paper claims to: CCHP Claims Department, Post Office Box 1599, San Leandro, CA 94577.

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Complaint Subrogation Sample For Insurance In Contra Costa