First, to what extent is overall satisfaction with dental PPOs a function of ratings of communications from the plan (e.g., clarity of claim payment guidelines; clarity of EOB statements), claims handling (e.g., claims review policy; timeliness of payments), and overall compensation?
A report released on Sunday, based on official government data and survey findings by charity Victim Support, claims that guidelines on dealing with victims are routinely broken and that public confidence in the criminal justice system is being undermined.
While the PGA does not itself investigate harassment or abuse claims, its guidelines include referrals to external legal and support resources such as the National Women's Law Center and Time's Up Legal Defense Fund, the Women in Film sexual harassment help line and SAG-AFTRA hotline, and other industry organizations.
Insurance companies are considering new claims-reimbursement guidelines.
As for your second claim– that guidelines are just guidelines– well, no.
It's the very opposite of what the DOJ has long claimed its guidelines protect.
They also claimed that guidelines advising people to stay out of the sun and wear sunscreen could be harming the population.
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Communication consisted of responses to the following three items: "Thinking about the communication you received from [company] over the past 12 months how would you rate: (a) the communication you receive concerning claim payment guidelines, (b) your patients' understanding of their benefits, and (c) the clarity of EOB (Explanation of Benefit) statements".
The Mail claims that UK guidelines are therefore too stringent, as the government currently recommends a maximum of one large glass of wine for women (2-3 units), and slightly more for men (3-4 units), per day.
