Kerry L. Montgomery vs. Premier Health Plans
| Case Details | |
|---|---|
| Case Number | 04-0004 CHC |
| Case Type | CHC Consolidated Healthcare |
| Case Name | Kerry L. Montgomery vs. Premier Health Plans |
| Commissioner | z Karen A. Winn |
| Case Status | Archived |
| Date Created | 2004-05-25 15:52:06 |
| Date Closed | 2004-06-30 10:04:49 |
| Case Appointments | ||||||
|---|---|---|---|---|---|---|
| Type | Location | Attendees | Subject | Status | Begin | End |
| Hearing Set for | JCMO | Held | 2004-06-02 10:00:00 | |||
| Correspondence | |||
|---|---|---|---|
| Reason | Comments | Date Sent | Documents |
| Closed-Recommended Decision - MCHC | sh | 2004-06-30 10:04:00 | |
| Case Documents | ||||
|---|---|---|---|---|
| ID | Type | Comments | Date Received | |
| 16546122 | MCHC File Transferred | 1. Visit report of Dr. Brabson 2. Letter of appeal from Montgomery 3. Denial letter March 22, 2004 to Montgomery from Hosack 4. Letter of January 21, 2004 from Dr. Brabson 5. Executive Summary from Premier Health Plans 6. Letter of March 22, 2004 to Montgomery from Hosack 7. Physician notes 8. Letter of March 8, 2004 to Montgomery from Hosack 9. Letter of March 1, 2004 to Montgomery from Hosack 10. Letter of Feb. 16, 2004 to MCHCP from Montgomery 11. Letter of Feb. 11, 2004 to Dr. Brabson from Hosack 12. Letter of January 21, 2004 from Dr. Brabson 13. First Level Grievance 14. Additional Medical 15. Initial Organizational Determination 16. Policies and Membe Handbook Other criteria 17. Call log 18 Authorizations | 2004-05-24 16:00:00 | |
| 16551595 | Transcript filed | by Bredemans. nb | 2004-06-23 09:45:00 | |
| 16553062 | Correspondence | |||