DOCUMENTS & FORMS

CE21 – Adverse Benefit Determinations

Umpqua Health Alliance corporate policy (CE21, Version 13) requiring written notification to members when an adverse benefit determination is made, including denials, reductions, or terminations of coverage, in compliance with OAR 410-141-3835 through 410-141-3915 and 42 CFR § 438.400 through 438.424.