№ lp_1_10106
File format: docx
Character count: 3124
File size: 39 KB
This letter is a medical treatment request addressed to an insurance company, seeking reconsideration of the denial of coverage for the treatment of a patient with TREMFYA® (guselkumab).
Note:
Year
Topic:
Medical Treatment Request
Document Type:
Letter
Author:
[Insert Healthcare Provider’s Name]
Target Audience:
Insurance Company
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
[Insert Year]
Region / City:
[Insert City, State ZIP]
Theme:
Medical Treatment Authorization
Document Type:
Authorization Request
Organization:
[Insert Payer Name]
Author:
[Insert Healthcare Provider’s Name]
Target Audience:
Medical Director or individual responsible for prior authorization
Period of Validity:
[Insert Date Range if Applicable]
Approval Date:
[Insert Date if Available]
Amendment Date:
[Insert Date if Applicable]
Year:
2020
Region / City:
Australia
Topic:
Pharmaceutical Benefits Scheme (PBS) listing
Document Type:
Committee Submission
Agency:
PBAC (Pharmaceutical Benefits Advisory Committee)
Author:
Committee Secretariat
Target Audience:
Healthcare professionals, PBAC members
Period of Effect:
From May 13, 2020
Approval Date:
May 13, 2020
Modification Date:
Not specified
Year:
[Insert Year]
Region / City:
[Insert City, State]
Topic:
Medical treatment authorization
Document Type:
Letter
Organization / Institution:
[Insert Institution Name]
Target Audience:
Medical Director / Payer
Period of Effectiveness:
[Insert period if specified]
Approval Date:
[Insert Date]
Amendment Date:
[Insert Date if applicable]
Year:
2022
Region / City:
United States
Topic:
Public Service Loan Forgiveness
Document Type:
Website Page
Agency / Institution:
U.S. Department of Education
Author:
N/A
Target Audience:
Student borrowers
Period of Validity:
N/A
Approval Date:
N/A
Modification Date:
N/A
Change Date:
March 24, 2015
Document Section:
Section G
Topic:
Requests for Reconsideration
Type of Document:
Administrative manual guidance
Issuing Authority:
Department of Veterans Affairs
Program Area:
Veterans benefits claims adjudication
Subject Matter:
Reconsideration of non-final VA decisions
Applicable Appeal Period:
One-year appeal period
Referenced Forms:
VA Form 21-0958; VA Form 21-4142; VA Form 21-4142a; VA Form 21-526EZ
Referenced Manual:
M21-1 Adjudication Procedures Manual
Target Audience:
VA claims processors and adjudication staff
Year:
2021
Region / city:
Singapore
Subject:
Foreign Interference, Home Affairs
Document type:
Application Form
Organization / Institution:
Ministry of Home Affairs
Author:
Not specified
Target audience:
Applicants seeking reconsideration under the Foreign Interference (Countermeasures) Act 2021
Effective period:
Not specified
Approval date:
Not specified
Date of changes:
Not specified
Year:
2021
Region / City:
Minnesota
Topic:
Healthcare, Nursing Home Regulations
Document Type:
Statute Changes
Agency / Organization:
Minnesota Department of Health
Author:
Minnesota Department of Health
Target Audience:
Nursing home administrators, Directors of Nursing, MDS Nurses, residents, families, interested parties
Period of Validity:
From 8/1/2021
Approval Date:
6/29/2021
Date of Changes:
6/29/2021
Year:
2025
Region / City:
Western Australia
Subject:
Responsible Authority Report for SAT reconsideration
Document Type:
Report
Agency / Institution:
State Administrative Tribunal (SAT)
Author:
Not specified
Target Audience:
Local Government, Development Assessment Panels (DAP)
Effective Period:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified
Document Type:
Worksheet
Purpose:
Appeal for scholarship reconsideration based on competitive offers
Subject:
Comparison of law school scholarship offers
Academic Field:
Legal education
Degree Referenced:
Juris Doctor (JD)
Required Attachments:
Award letter and associated terms and conditions
Evaluation Criteria:
Enrollment plan comparability, tuition only, award terms and conditions, scholarship applicability
Example Institution:
Mitchell Hamline School of Law
Financial Data Included:
Tuition cost, total estimated degree cost (with and without scholarship), tuition-based scholarship award
Intended Users:
Scholarship applicants submitting reconsideration appeals
Document Number:
DA 24-373
Release Date:
April 22, 2024
Applicant:
Tahoma Preservation
Location:
Tacoma, Washington
Agency:
Federal Communications Commission
Bureau:
Media Bureau
Division:
Audio Division
Facility ID:
787979
Application File Number:
0000231404
Pleading File Number:
0000238844
Type of Document:
Order
Subject:
Petition for Reconsideration
Service:
Low Power FM (LPFM)
Relevant Rule Sections:
47 CFR §§ 73.807, 73.870
Related Legislation:
Local Community Radio Act of 2010
Decision:
Petition Denied
Signatory:
Albert Shuldiner
Title of Signatory:
Chief, Audio Division
Note:
Year
Year:
2016
Region / City:
Sacramento, CA
Topic:
Appraisal Rebuttal
Document Type:
Request Letter
Organization / Institution:
XYZ Mortgage Company
Author:
Larry Holmes
Target Audience:
Lenders, Appraisers
Effective Period:
March 27, 2016
Approval Date:
March 27, 2016
Date of Changes:
None
Note:
Year
Subject:
Parole, Legal Procedures
Document Type:
Form
Organization / Institution:
Secretary of State for Justice
Target Audience:
Victims, Individuals involved in parole procedures
Confidentiality:
Details will be kept confidential
Deadline:
21 calendar days from the parole decision
Contact Information:
[email protected]
Additional Information:
Extra pages may be included, evidence can be submitted
Jurisdiction:
England and Wales
Subject matter:
Universal Credit and Mandatory Reconsideration refusal
Document type:
Judicial Review Pre-Action Protocol Letter Before Claim template
Proposed Defendant:
Secretary of State for Work and Pensions
Government department:
Department for Work and Pensions
Related legislation:
Crown Proceedings Act 1947 (Practice Direction, December 2023)
Procedure:
Pre-Action Protocol for Judicial Review
Address for service update:
February 2024
Intended recipients:
Department for Work and Pensions and The Treasury Solicitor
Context:
Refusal to carry out a mandatory reconsideration on the basis that the challenge relates to a policy issue
Claim type:
Proposed judicial review claim
Reference fields included:
Claimant name, National Insurance number, date of birth, assessment period, decision dates
Year:
2006
Region / City:
Jersey Island
Subject:
Planning Permission
Document Type:
Report
Author:
Gabrielle Way
Target Audience:
Planning authorities, property developers, architects
Period of validity:
N/A
Approval Date:
13.03.06
Date of Changes:
N/A
Date:
November 22, 2024
Recipient:
Halimo Husein, Authorized Agent
Organization:
Gateway Health Services, Inc.
License Number:
1119232 (IRTS/RCS)
Program Location:
16005 Joplin Avenue, Lakeville, MN 55044-9483
Document Type:
Reconsideration Determination Letter
Issuing Authority:
Minnesota Department of Human Services, Division of Licensing
Related Citations:
1, 4, 22, 24, 25
Dates of Original Correction Order:
August 16, 2024
Date of License Issuance:
November 13–14, 2023
Applicable Statutes:
Minnesota Statutes, sections 245I.23, 245A.242, 245I.06
Violations Addressed:
Licensing compliance, emergency overdose treatment, personnel observation, staff training
Outcome Summary:
Citation 1 rescinded; citations 4, 22, and 24 affirmed
Year:
2023
Region / City:
United States, Washington D.C.
Subject:
Telecommunications, Rural Broadband Funding
Document Type:
Legal Order
Agency / Institution:
Federal Communications Commission, Wireline Competition Bureau
Author:
Chief, Wireline Competition Bureau
Related Docket Numbers:
AU Docket No. 20-34, WC Docket No. 19-126
Adopted Date:
May 23, 2023
Released Date:
May 23, 2023
Parties Involved:
Etheric Communications LLC, California Public Utilities Commission
Key Issues:
Petition for reconsideration, ETC designation, waiver request, Rural Digital Opportunity Fund application
Year:
2026
Region / City:
Seattle, WA, USA
Subject:
Library materials review
Document Type:
Request form
Institution:
Washington Talking Book & Braille Library
Target Audience:
Library patrons and organizations
Purpose:
Reconsideration of collection materials
Submission Methods:
Mail or Email
Referenced Policy:
Collection Development Policy
Year:
1998
Region / City:
United States
Topic:
Health Insurance, Legal Rights
Document Type:
Legal Notice
Organ / Institution:
Federal Government
Author:
Not specified
Target Audience:
Individuals with health coverage
Period of Validity:
Not specified
Approval Date:
Not specified
Modification Date:
Not specified
Year:
2023
Region / City:
Victoria, Australia
Theme:
Gender equality in sports media, women’s sports coverage
Document Type:
Research study
Organization / Institution:
Victorian Government
Author:
N/A
Target Audience:
General public, media professionals, sports enthusiasts
Period of validity:
2023
Approval Date:
N/A
Date of Changes:
N/A