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Flagler, Seminole, and Volusia Counties


■ Out-of-network liability and balance billing
■ Enrollee claims submission
■ Grace periods and claims pending policies during the grace period
■ Retroactive denials
■ Enrollee recoupment of overpayments
■ Medical necessity and prior authorization timeframes and enrollee responsibilities
■ Drug exceptions timeframes and enrollee responsibilities
■ Information on Explanations of Benefits (EOBs)
■ Coordination of benefits (COB)

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More than 4,000 physicians, 24 hospitals and dozens of ancillary facilities are part of our provider network