Does an assignment of benefits by a claimant to a health care provider constitute the designation of an authorized representative?
No. An assignment of benefits by a claimant is generally limited to assignment of the claimants right to receive a benefit payment under the terms of the plan. Typically, assignments are not a grant of authority to act on a claimants behalf in pursuing and appealing a benefit determination under a plan. In addition, the validity of a designation of an authorized representative will depend on whether the designation has been made in accordance with the procedures established by the plan, if any.
No. An assignment of benefits by a claimant is generally limited to assignment of the claimant s right to receive a benefit payment under the terms of the plan. Typically, assignments are not a grant of authority to act on a claimant s behalf in pursuing and appealing a benefit determination under a plan. In addition, the validity of a designation of an authorized representative will depend on whether the designation has been made in accordance with the procedures established by the plan, if any.
No. An assignment of benefits by a claimant is generally limited to assignment of the claimants right to receive a benefit payment under the terms of the plan. Typically, assignments are not a grant of authority to act on a claimants behalf in pursuing and appealing a benefit determination under a plan. In addition, the validity of a designation of an authorized representative will depend on whether the designation has been made in accordance with the procedures established by the plan, if any. B-3: When a claimant has properly authorized a representative to act on his or her behalf, is the plan required to provide benefit determinations and other notifications to the authorized representative, the claimant, or both? Nothing in the regulation precludes a plan from communicating with both the claimant and the claimants authorized representative. However, it is the view of the department that, for purposes of the claims procedure rules, when a claimant clearly designates an authorized re
Related Questions
- Does an assignment of benefits by a claimant to a health care provider constitute the designation of an authorized representative?
- Are Family Leave Insurance benefits reduced or denied when the care provider/claimant is receiving benefits from another source?
- What are the benefits of registering as an authorized Provider with http://www.myohiohcp.org?
