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Subrogation For Aetna In Illinois

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

Description

The Subrogation for Aetna in Illinois form is essential for attorneys and legal professionals involved in insurance claims and recovery actions. This form is used to initiate a complaint for recovery and a declaratory judgment related to subrogation claims, particularly in cases involving automobile accidents where an insured party seeks compensation from an at-fault party. Key features of the form include sections for detailing the parties involved, jurisdiction, and the nature of the action. Completing the form requires filling in specifics about the accident, the insurance policy, and the amounts already paid to the injured party. Attorneys, partners, and associates can utilize this form to articulate and pursue subrogation rights effectively. Paralegals and legal assistants can play a crucial role in gathering necessary information and ensuring the form is filled out accurately. The target audience will find this form helpful in navigating complex insurance recovery processes in Illinois, thereby streamlining legal proceedings and improving the chances of a successful claim.
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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

HealthChoice Illinois is the statewide Medicaid managed care program. Most Medicaid customers are required to choose a primary care provider (PCP) and health plan.

The Illinois Department of Healthcare and Family Services (HFS) is the state Medicaid agency. The HFS Medicaid website is a comprehensive information source for the entire Illinois program.

Aetna Better Health® of Illinois. When you choose us as your HealthChoice Illinois — Medicaid health plan, you're choosing care you can trust. It's about bringing together what matters most to your health.

Aetna and Medicaid Our plans go by different names in different states, but they all offer the same high-quality care.

Aetna Better Health® of Illinois. When you choose us as your HealthChoice Illinois — Medicaid health plan, you're choosing care you can trust. It's about bringing together what matters most to your health.

Filing an appeal You can file an appeal within 180 days of receiving a Notice of Action. The Appeals and Grievance Manager will send an acknowledgment letter within five business days.

What is aetna reconsideration form? The Aetna reconsideration form is a document that allows individuals or healthcare providers to request a review or reconsideration of a denied claim or coverage determination by Aetna, a health insurance company.

Timeframes for reconsiderations and appeals Dispute levelDoctor / provider submission timeline Reconsideration Within 180 calendar days of the initial claim decision. Appeals Within 60 calendar days of the previous decision.

The Aetna case started in 2012 when the carrier filed suit (1-12-CV-217943) against Northern California surgery provider Bay Area Surgical Management LLC (BASM) for allegedly conducting a widespread conspiracy to defraud the insurer via the use of out-of-network benefits.

Aetna Inc. Since November 28, 2018, the company has been a subsidiary of CVS Health. Aetna Inc. Aetna's headquarters in Hartford, Connecticut.

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Subrogation For Aetna In Illinois