Thatâs why understanding and complying with the statute of limitations is critical for any medical malpractice plaintiff. For a state-by-state breakdown of the statute of limitations in medical malpractice cases, click on the link below. by: David Goguen, J.D. 1  reply.
Administrative Law Judge (ALJ) Hearings. An ALJ hearing is a hearing conducted by an Administrative Law Judge. You can. appeal to the ALJ after youâve gotten a denial for either health care services or. drugs from the Independent Review Entity (IRE). The IRE is a company called. MAXIMUS Federal Services.
Pharmacy. Request a coverage decision and/or exception or file an appeal of a drug coverage decision. The WellCare Pharmacy Services team is committed to quality service and partnership with our providers to improve our membersâ health and well-being. To help your patients get the most out of their pharmacy benefit.