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MAXIMUS, Inc. Message Board

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  • tarquinia1 tarquinia1 Apr 15, 2011 12:15 PM Flag

    Sad but True

    Just got a letter of denial (medicare appeal) from them.... the signature looks like from a 4 years old child.
    Wonder if employees can read a complaint or remember whose paying........ taxpayer .............. not the insurance industry!
    On page 4 of their Manual
    "The Medicare Health Plan bears the burden to show why the denial is appropriate. Therefore, missing information is reasonably construed to the enrollee’s favor"

 
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