Case Details
Case Number 95-0014 CHC
Case Type CHC Consolidated Healthcare
Case Name Hon. William F. Mauer vs. Missouri Consolidated Health Care Plan
Commissioner z Edward F. Downey
Case Status Archived
Date Created 1995-09-06 00:00:00
Date Closed
Case Appointments
Type Location Attendees Subject Status Begin End
Hearing Set for Graham, COPY OF Letter from MCHC to Hon. William F. Mauer, scheduling hearing for 2:00 P.M., Wednesday, September 13, 1995, filed. ls 1995-09-08 00:00:00
Correspondence
Reason Comments Date Sent Documents
Hearing Notice sent-noh 1995-09-08 00:00:00
Case Documents
ID Type Comments Date Received
16269543 Transcript filed TRANSCRIPT FILED by Bentch. ls 1995-09-26 00:00:00
16282961 Complaint Filed CASE TRANSFERRED to AHC, contents as follows: Letter from Martin Crow, M.D. to MO State Medical Care Plan, dated June 21, 1994. Letter from Bernard M. Abrams, M.D., to Paul Redfearn, re: Pamela Mauer s condition, dated July 12, 1994. Letter from MCHC to Martin Crow, M.D., concerning pre-determination of benefits, dated July 13, 1994. Operative Report, July 1994. Surgical Pathology report, dated July 19, 1994. Insurance Claim forms, dated 8/25/94 Healthlink Adjudication report, dated September 7, 1994 Affidavit of Ann Byrne, Associated Plastic Surgeons, Inc., with 28 pages of records, dated Sept. 13, 1994 Explanation of Benefits, processed September 28, 1994 Letter from Martin, L. Crow, M.D. to Paul Redfern, dated November 3, 1994. Letter from Paul Redfearn to MCHC, requesting review, dated November 14, 1994. Letter from Martin L. Crow, M.D. to William Mauer, dated May 16, 1995. Letter from Pamela Mauer to MCHC, requesting peer group review, dated May 22, 1995. Letter from Mimi Casteel, MCHC, to Gregg Laiben, M.D., concerning peer review, dated June 21, 1995. Letter from Gregg R. Laiben, M.D., to Mimi Casteel, MCHC, concerning review, dated July 25, 1995. MCHC s Member s Call Log concerning phone call from William Mauer, August 24, 1995. HEARING SCHEDULED 2:00 P.M., Wednesday, September 13, 1995 EFD/AHC. ls 1995-09-06 00:00:00
16328437 Miscellaneous filed COPY of letter from Petitioner to MO Consolidated Health Care Plan, concerning Peer Group Review. ls 1995-09-13 00:00:00
16333639 Miscellaneous filed LETTER from Petitioner s attorney concerning coverage of procedure and state regulations filed. ls 1995-10-11 00:00:00