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Froggy Jumps
Froggy Jumps

O Caminho da CPT

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O Caminho da CPT

Froggy Jumps

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About this activity

Resolução Normativa 558

Created by

Kamila Moraes
Kamila Moraes
Brazil
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O Caminho da CPT

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O Caminho da CPT
 

Froggy Jumps

O Caminho da CPTOnline version

Resolução Normativa 558

by Kamila Moraes
1

De acordo com a RN 558, o que são Doenças ou Lesões Preexistentes?

2

A CPT é a suspensão da cobertura por qual período?

3

Quando aplicada a CPT, quais procedimentos são suspensos?

4

A Carta de Orientação ao Beneficiário é um documento obrigatório do contrato?

5

Onde são classificados os procedimentos de alta complexidade?

6

O que o Beneficiário deve informar na Declaração de Saúde?

7

É obrigatório o BNF ser acompanhado por um médico para preencher a DS?

8

É considerada DLP para aplicação de CPT ou Agravo casos de atendimento obstétrico?

9

Identificado indício de fraude por parte do beneficiário, referente à omissão de conhecimento de DLP, a operadora deverá:

10

Qual o prazo para manifestação do Beneficiário sobre a alegação de omissão constante do TCB?

11

É permitida a negativa de cobertura assistencial, suspensão ou rescisão unilateral do contrato pela Operadora, antes do encerramento do processo administrativo da ANS para apurar a omissão na DS?

12

Considerando o disposto na RN 558 a Operadora pode imputar CPT sem o acordo do BNF ou sem a abertura e encerramento do processo ADM na ANS?

13

Após o julgamento do processo administrativo na ANS quem poderá ser excluído do plano?

 
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