This form for use in litigation against an insurance company for bad faith breach of contract. Adapt this model form to fit your needs and specific law. Not recommended for use by non-attorney.
Claim For Subrogation In Contra Costa
Category:
State:
Multi-State
County:
Contra Costa
Control #:
US-000279
Format:
Word;
Rich Text
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FAQ
Submitting Claims Claims received after 180 days will be denied for untimely filing.
Send your claim form and documentation to: Mail: HealthSmart Benefit Solutions, Inc. PO BOX 1014 Charleston, WV 25324-1014 Fax: 806.473. 2535 Online: healthsmart/nysut.
CLAIMS DEPARTMENT PO Box 30755 Salt Lake City, UT 84130-0755. 1-800-333-8724.
Paper Claims Submission Please send your paper claims to: CCHP Claims Department, Post Office Box 1599, San Leandro, CA 94577.
Claims Submission LINE OF BUSINESSADDRESS Medi-Cal California Health and Wellness Plan Attn: Claims PO Box 4080 Farmington, MO 63640-3835
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!
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.
Please send your paper claims to: CCHP Claims Department, Post Office Box 1599, San Leandro, CA 94577.
More info
This article provides guidance on now to prevent a Workers' Compensation subrogation attorney from extorting an improper recovery on their lien. For the purposes of cost proposal development, Proposers should review carefully the detailed requirements described in the scope of work.Court for the Northern District of California. County of Contra Costa, California. Shall be held exclusively in a state court in the County of Contra Costa, Martinez, California. 14. Written Notification. Get help right now from our service center or certified enrollers, or find out where you can get free in-person help. Supervisor, Contra Costa County. Humza Javed, City Engineer.