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It was the businesss third such violation in a three-year period
Some of the compensation you might receive includes: Medical Expenses You may be able to get paid back for the cost of medical treatment, including emergency room visits, surgeries, follow-up care, physical therapy, and medication
(However, this section does not prohibit a plan from requiring precertification for any period after the first 96 hours.) In addition, the requirement to obtain precertification from the plan based on medical necessity for a hospital length of stay within the 96-hour period would also violate paragraph (a) of this section
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