THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rodwelch@pacbell.net


S U M M A R Y


DIARY: October 15, 2007 01:19 PM Monday; Rod Welch

Legal support Millie's hearing at Kaiser on UCSF payment dispute.

1...Summary/Objective

ACTION ITEMS.................. Click here to comment!

1...Namusa scheduled call from lawyer for 071119.

CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Received call from law firm called last week to support hearing by
040902 - Kaiser's Appleals Committee, per notice in Paula's letter on 071006.
040904 -  ..
040905 - Case was discussed with senior legal counsel and they decided not to
040906 - get involved.
040908 -  ..
040909 - Suggested calling...
040910 -
040911 -    California HMO Help Center.
040912 -
040913 -         800 300 0815
040914 -
040916 -  ..
0410 -
0411 -
0412 - 1324
0413 -
041301 - Called California HMO Help Center............. 800 300 0815
041302 -
041303 - After pressing many buttons and starting over, finally got through to
041304 - someone.
041306 -  ..
041307 - These folks suggested calling...
041308 -
041309 -    Health Insurance Counseling and Advocacy Program - HICAP
041310 -
041311 -         800 434 0222
041312 -
041314 -  ..
0414 -
0415 -
0416 - 1346
0417 -
041701 - Called Health Insurance Counseling and Advocacy Program - HICAP
041702 -
041703 -         800 434 0222
041705 -  ..
041706 - Got message that HICAP has a new number...
041707 -
041708 -         925 229 8434
041710 -  ..
041711 - Talked to Ariane at HICAP
041713 -  ..
041714 - Ariane took down possible client data.   Explained background of
041715 - payment dispute with Kaiser, and that Kaiser has scheduled Millie for
041716 - hearing at end of the month or first part of next month, per letter
041717 - dated 071006 and received from Kaiser MCRC unit on 071010. ref SDS 2
041718 - TH8L
041720 -  ..
041721 - Explained requirement for legal advice....
041722 -
041723 -        1.  Hearing support, background on how Kaiser conducts hearing.
041724 -            Should complainant prepare a statement to read in at the
041725 -            beginning of the hearing?  Will witnesses be sworn?  Should
041726 -            witnesses be brought to the hearing?  Can the complainant
041727 -            call witnesses?  Should Millie be represented by counsel?
041729 -             ..
041730 -        2.  Legal research is needed on question submitted to CMS on
041731 -            Medicare regulation, on 071002. ref SDS 1 OY4Q  Does
041732 -            patients right to self-refer for participating in clinical
041733 -            trials for advancing science to improve future treatments,
041734 -            preclude managed care service provider (Kaiser, HMO) from
041735 -            prescribing treatment for oncology practice, and paying any
041736 -            costs not covered by the trial to perform duty of care for
041737 -            standard of practice?
041739 -  ..
041740 - Ariane suggested calling...
041741 -
041742 -    Senior Legal Services
041743 -
041744 -       925 706 4582
041745 -
041746 -    Cancer Society.................... look up
041748 -     ..
041749 -    Bay Area Legal Aid................ 924 219 3325
041750 -
041751 -
041752 -
041754 -  ..
0418 -
0419 -
0420 - 1409
0421 -
042101 - Called Senior Legal Services.............. 925 706 4582
042102 -
042103 - Talked to Namusa.
042105 -  ..
042106 - Explained background of case, and objectives for representation, per
042107 - above. ref SDS 0 GH80
042109 -  ..
042110 - Namusa scheduled call from lawyer for 071119.
042112 -  ..
042113 - Can send confirmation via email to...
042114 -
042115 -        bnamusa@yahoo.com
042116 -
042117 -
042119 -  ..
0422 -
0423 -
0424 - 1437
0425 -
042501 - Ariane called back with HICAP............... 925 229 8434
042502 -
042503 - She has discussed the case with her supervisor, per above, ref SDS 0
042504 - PP9P, who is...
042505 -
042506 -    Leah McIntosh............. 925 335 8791
042508 -  ..
042509 - Leah said that if Kaiser's Appeal Committee does not support Kaiser's
042510 - referral for Millie's treatment at UCSF, then call HICAP, and Leah
042511 - will arrange for legal representation.
042512 -
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0426 -