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  2. Whistleblower Lawsuit Against Humana: Settles Medicare ... - AOL

    www.aol.com/whistleblower-lawsuit-against-humana...

    Last week, Humana Inc (NYSE:HUM) agreed to pay $90 million to the federal government to settle a whistleblower lawsuit alleging fraudulent Medicare Part D bids. The lawsuit, filed by Phillips ...

  3. New York State Supreme Court, Appellate Division, First ...

    en.wikipedia.org/wiki/New_York_State_Supreme...

    The First Department of the Appellate Division holds jurisdiction over the Counties of New York and the Bronx.Appeals are taken to the Appellate Division, as a matter of right, in civil and criminal cases, from the Supreme Court, Surrogate's Court, Family Court, and Court of Claims.

  4. New York City Office of Administrative Trials and Hearings

    en.wikipedia.org/wiki/New_York_City_Office_of...

    The city Tax Appeals Tribunal adjudicates disputes regarding city-administered taxes other than real estate assessment claims, which are adjudicated by the city Tax Commission. [ 2 ] The New York City Criminal Court and New York City Civil Court are part of the New York State Unified Court System .

  5. Administrative Appeals Office - Wikipedia

    en.wikipedia.org/wiki/Administrative_Appeals_Office

    The key difference between appeals and motions is that appeals go to the AAO, i.e., a higher authority than the one that made the decision being appealed. Also, they do not need to include additional evidence, since the underlying claim of the appeal is that the office whose decision is being appealed did not correctly process the existing ...

  6. 'Deny, deny, deny': By rejecting claims, Medicare Advantage ...

    www.aol.com/news/deny-deny-deny-repeatedly...

    A report last year by the department’s Inspector General found that in June 2019, the 15 top Medicare Advantage plans denied authorization for 13 percent of claims that had met Medicare rules ...

  7. What is the Humana Waterside building? Everything to know ...

    www.aol.com/humana-waterside-building-everything...

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  8. HealthCare.gov - Wikipedia

    en.wikipedia.org/wiki/HealthCare.gov

    HealthCare.gov is a health insurance exchange website operated by the United States federal government under the provisions of the Affordable Care Act (ACA), informally referred to as "Obamacare", which currently serves the residents of the U.S. states which have opted not to create their own state exchanges.

  9. Complaint system - Wikipedia

    en.wikipedia.org/wiki/Complaint_system

    There is a substantial early history of scholarly work on due process, and union and non-union grievance procedures within organizations. This work focused primarily on rights-based conflict resolution between union and non-union workers and their managers. Scholarly work has evolved to cover both a wider range of conflict management channels ...