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.
Subrogation For Claim In Contra Costa
Category:
State:
Multi-State
County:
Contra Costa
Control #:
US-000279
Format:
Word;
Rich Text
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FAQ
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.
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.
Paper Claims Submission Please send your paper claims to: CCHP Claims Department, Post Office Box 1599, San Leandro, CA 94577.
Please send your paper claims to: CCHP Claims Department, Post Office Box 1599, San Leandro, CA 94577.
CLAIMS DEPARTMENT PO Box 30755 Salt Lake City, UT 84130-0755. 1-800-333-8724.
Claims Submission LINE OF BUSINESSADDRESS Medi-Cal California Health and Wellness Plan Attn: Claims PO Box 4080 Farmington, MO 63640-3835
Timely filing is when an insurance company put a time limit on claim submission. For example, if a insurance company has a 90-day timely filing limit that means you need to submit a claim within 90 days of the date of service.
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.
More info
The insurer shall waive all rights of subrogation against the DISTRICT, its officers, directors, and employees. 2). COMMERCIAL GENERAL LIABILITY INSURANCE a.Plaintiff Brian Cuevas, through his guardian ad litem, brought an action for medical malpractice against defendant the County of Contra Costa, among others. When you file a claim, your insurer can try to recover costs from the person responsible for your injury or property damage. This is known as subrogation. 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. Waiver of Subrogation. Get help right now from our service center or certified enrollers, or find out where you can get free in-person help.