12/8/2023 0 Comments Anthem timely filing limit 2021![]() The form was created by the Centers for Medicare and Medicaid Services ("CMS") and is identified as form CMS-1450. Important obligations which Claimants must satisfy, in order to receive reimbursement for covered services, include preparation and submission of claims for reimbursement using industry standard forms called UB-04 claim forms. Claimants are entitled to an award of monetary damages, declaratory and equitable relief sought. Further, that by employing such claims related policies, processes and procedures (hereinafter "Anthems" or "Respondent’s ED Policy") such actions constitute breaches of applicable laws (which in itself would be a further breach of the contracts by Respondent). Further, that the adoption and implementation of Anthem’s ED policy violated laws in the manner in which it adjudicated whether claims for ED provided medical services for Respondent’s members were to be reimbursed at higher emergent or lower non-emergent "triage" rates. Claimants allege that due to breaches of various contract provisions (to be discussed) in the administration and management of the Plans, Respondent breached the contracts. In this arbitration, Hospitals assert that Respondent is indebted to each of the various Claimants/Counter-Respondents (hereinafter "Claimants" or "Hospitals") for monetary damages alleged to be owing for provision of emergency services provided in various of Claimants’ emergency departments to members of the Respondent/Counter-Claimant’s (hereinafter "Respondent" or "Anthem") Medicaid plan(s). Specifically, the resolution of various disputes involves reasonable interpretations of the law and application of the contract provisions governed by laws which address claims payment, performance obligations and mechanisms with respect to the three (3) Indiana Medicaid programs administered by Anthem. The proceedings were transcribed by a certified court reporting service (Veritext) and by agreement of the parties, the transcription generated reflects the Official Record of the proceedings.ĭetermination and ultimately resolution of the Claims, Counter-Claims and defenses requires understanding of the intent of contractual provisions and application of often confusing and complex federal and state laws, rules, regulations and importantly, CMS guidance applicable to the various and respective laws, rights, duties and obligations of the parties (hereinafter collectively "laws"). ![]() The Evidentiary Hearing was conducted using Zoom, an audio-visual communication platform employing the internet to transmit and receive testimony, exhibits and other audio-visual information and data. Beginning in late April 2021, the parties engaged in a virtual evidentiary hearing over a two-week period of time which included eight (8) full days of testimony and the introduction of a great many exhibits (hereinafter "Evidentiary Hearing"). The Respondent (represented by Troutman Pepper Hamilton Sanders LLP) filed a counter-claim arising out of and/or related to alleged breaches of the same contract(s) seeking declaratory relief, statutory costs and attorney fees relative to the arbitration. ![]() The claims arise out of (and/or relate to) certain alleged breaches of contract(s) to enable each Claimant to participate as a health care provider in certain Medicaid Plans in the State of Indiana administered and managed by Respondent. Claimants (represented by Lash & Goldberg LLP) initiated this arbitration proceeding through the American Arbitration Association, seeking monetary damages, declaratory and injunctive relief.
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12/8/2023 0 Comments Tangerine yoga pants reviews“Lululemon has nailed the yoga pant,” says Jones. Lululemon’s workout gear has been recommended to us by many, many fitness experts, and Wunder Train tights are the brand’s longtime best-selling pair - and a favorite among yoga instructors. Size range: 0 to 20 | Rise and compression: High-rise, mid-compression | Pockets: None As for the rise, Jones notes that if you’re doing yoga, “you want to be able to breathe through your diaphragm,” which means super-high waists are out, because they can restrict belly movement. Sky Ting Yoga co-founder Krissy Jones, who has “been living in yoga pants for the past 12 years,” compares the supportiveness of compressive yoga pants to an ankle brace: “It just gives you a little extra firmness and actually supports your muscles to activate and work tighter towards the bone, which is a good thing.” All good yoga pants will cinch your legs and waist somewhat, but if you’re a runner or wearing them for more intensive workouts, you’ll probably want to invest in a more compressive pair than you would use on the mat. ![]() Compressive, high-rise leggings will create a streamlined silhouette and won’t fall down when you run or do a Downward Dog. These design features will affect both form and function. Yoga pants vary in how high they sit on the waist as well as how thick and compressive their fabric is. Whether they’re durable tights approved by personal trainers, super-stretchy maternity leggings, or even a yoga skirt that can be worn from “studio to street,” you can find recommendations for every style and price below. The pants on this list have been praised by fitness instructors, yogis, and other experts we’ve talked to. ![]() Although the term “yoga pants” might mean different things to different people, here I’ve defined it to be pants made of a thick enough material to cover your butt (even when you’re in Downward Dog) and stretchy and sweat-wicking enough to get you through your class, a run around the park, or a day at your desk comfortably - regardless of silhouette. But wading through all the styles and brands to find a pair that fits well, stays put when you move, and actually looks nice is no easy task. ![]() In theory, these should be the most comfortable pants you own. Whether you’re working out or working from home, yoga pants are probably somewhere in your day-to-day wardrobe rotation. 12/8/2023 0 Comments Star wars origami![]() ![]() Hailfire Droid, Designed and Folded by Martin Hunt Martin Hunt has also designed this really awesome Hailfire Droid from Episode II. Droid Starfighter, Designed and Folded by Shu Sugamata Shu Sugamata has also designed a great Droid Starfighter. Vulture Droid, Designed and Folded by Martin Hunt The last few models in this post are other Star Wars vehicles that don’t really belong to the Rebellion or the Empire such as this great Trade Federation Vulture Droid or Droid Starfighter. Executor Class Super Star Destroyer, Designed by Morisue Kei and Folded by Artur Biernacki Executor Class Super Star Destroyer, Designed by Morisue Kei and Folded by Karol Kafarski Here it is folded by two different people. Morisue Kei has designed a very awesome Executor class Super Star Destroyer. Star Destroyer, Designed and Folded by Shu Sugamata The engines on the back are especially awesome. Shu Sugamata designed a fantastic Star Destroyer. TIE Interceptor, Designed and Folded by Shu Sugamata TIE Interceptor, Designed and Folded by Martin Hunt There are a couple of great TIE Interceptor models as well. TIE Bomber, Designed and Folded by Shu Sugamata Shu Sugamata has also designed a great TIE Bomber. ![]() TIE Advanced, Designed and Folded by Shu Sugamata TIE Advanced, Designed and Folded by Martin Hunt The TIE Advanced is the ship Darth Vader flew in A New Hope and there are a couple of great designs for this ship too. TIE Fighter, Designed by Morisue Kei and Folded by Karol Kafarski TIE Fighter, Designed by Morisue Kei and Folded by Artur BiernackiĪ photo of the crease pattern is available from origami tourist’s Flickr Morisue Kei also has an excellent TIE Fighter design. TIE Fighter, Designed and Folded by Martin HuntĬrease pattern available from Martin Hunt’s Flickr The TIE Fighter is the main star fighter of the Empire and there are a couple of different origami TIE Fighter designs. Speeder Bike, Designed and Folded by Martin Hunt Martin Hunt has designed a great Speeder Bike. AT-AT Walker, Designed by Morisue Kei and Folded by Karol Kafarski ![]() We’ll start off the Imperial ships and vehicles with this great AT-AT Walker. Resistance X-Wing, Designed and Folded by Shu Sugamata Here’s the model again from a different angle. Another excellent origami Star Wars ship designer Shu Sugamata designed this awesome Resistance X-Wing and managed to get the new wing design perfect. If you’ve been paying attention to the trailers for the Force Awakens you probably noticed that there’s a new design for the Resistance X-Wings with different interlocking wings. X-Wing, Designed and Folded by Martin Huntĭiagrams available from .uk A-Wing, Designed and Folded by Marin HuntĪnd here’s one more excellent ship designed by Martin Hunt, the iconic rebel X-Wing fighter. The A-Wing is one of my favourite ships and this one might be my favourite of Martin Hunt’s models. Y-Wing, Designed and Folded by Marin Hunt Here’s an excellent Y-Wing also by Martin Hunt. Snowspeeder, Designed and Folded by Martin HuntĬrease pattern available from .uk This post is all about the vehicles and ships from Star Wars and we’ll get started with some Rebel Alliance ships.įirst up is this fantastic Income T-47 Snowspeeder by Martin Hunt. There are a lot of awesome Star Wars origami models out there. Star Wars the Force Awakens is pretty much one week away at this point and because I love Star Wars and am quite excited for the new movie I’m going to make a couple of posts about Star Wars origami. 12/8/2023 0 Comments Spice girls names![]() ![]() Whether on stage or on the radio, the Spice Girls continue to inspire legions of women to step out of the background and kick it up. The Spice Girls reunited for a tour in 2007, the London Summer Olympics in 2012, and a string of concerts since (without former member Posh). They announced a hiatus in February of 2001, but it didn’t stick. But touring and life as tabloid fodder took their toll and the group began to splinter not long after the release of their R&B-fueled third album, Forever (2000). ![]() The 1997 album, colored with tinges of ‘60s pop, ‘70s disco, and ‘80s-style samba and filled with empowering songs about sisterhood and self-respect inspired a new generation of women pop stars, like Britney Spears and Christina Aguilera. Their debut album, Spice, came out later that year, delivering the friends-first anthem “Say You’ll Be There” and the romantic “2-Become-1.” They continued their chart-topping success with their second album, Spiceworld, which served as a soundtrack to the gloriously over-the-top film of the same name. Their 1996 sing-along hit, “Wannabe,” hit number one in the UK, and by the end of the year, it repeated that feat in 21 other countries. In the age of boy bands, Emma Bunton (Baby Spice), Geri Halliwell (Ginger Spice), Melanie Brown (Scary Spice), Melanie Chisholm (Sporty Spice), and Victoria Beckham née Adams (Posh Spice) showed what girl power could do. When five young women answered a theatrical magazine ad in the summer of 1993 looking for “lively girls” to form a musical group, they had no idea they would be changing the face of music for decades to come. 12/7/2023 0 Comments Games of thrones game ps4Through Telltale's servers, the game tracks how many players selected which option and lets the player compare their choices to the rest of the player base. Įach episode contains five points where the player must make a significant decision, choosing from one of two available options. The game switches between the viewpoints of five different characters. Choices made by the player influence events in future episodes. The player is able to move their character around some scenes, interacting with objects and initiating conversation trees with non-player characters. Game of Thrones is an episodic point-and-click graphic adventure fantasy drama video game, released as 6 episodes following the model of Telltale's previous adventure games. Telltale's CEO Dan Connors explained that the game would not be a prequel to the television series, and that the established world and timeline of Game of Thrones allowed Telltale to explore fixed stories in more depth, to appeal to players. ![]() Martin stated that his personal assistant, Ty Corey Franck, was working with Telltale Games as a "story consultant". In December 2013, Telltale announced Game of Thrones at the 2013 Spike VGX video game awards program. They approached HBO with the concept, and after a year of negotiations, were able to secure the license. Game of Thrones arose from internal discussions within Telltale of what other popular franchises they wanted to write games around, with much support given for Game of Thrones, considering its emotional equivalence to The Walking Dead. Telltale Games had found critical success in several licensed adventure games, including their The Wolf Among Us and The Walking Dead episodic video game series. Martin opined that he wanted "a Game of Thrones game to be made by a studio that knows how to create a thrilling and interesting story". In August 2019, the company returned, but as of August 2022, no news has been made regarding the series future.ĭevelopment Ty Corey Franck, Martin's personal assistant, acted as a story consultant for the gameĪfter previous video games based on his works received negative or mediocre critical responses, George R. Emilia Clarke, Iwan Rheon, Kit Harington, Lena Headey, Natalie Dormer, and Peter Dinklage reprise their roles from the television series as Daenerys Targaryen, Ramsay Bolton, Jon Snow, Cersei Lannister, Margaery Tyrell, and Tyrion Lannister, respectively.Ī second season had been planned but was placed on hold in 2017, amid restructuring issues at Telltale Games, and ultimately was cancelled following Telltale's majority studio closure in September 2018. The game includes settings and characters from the series of novels A Song of Ice and Fire and the television adaptation. The story revolves around the northern House Forrester, rulers of Ironrath, whose members, including the five playable characters, attempt to save their family and themselves after ending up on the losing side of the War of the Five Kings. ![]() The game follows the episodic format found in other Telltale titles, where player choices and actions influence later events across the six-episode arc. ![]() It is based on the television series of the same name. Game of Thrones, also known as Game of Thrones: A Telltale Games Series, is an episodic graphic adventure game developed and published by Telltale Games for Android, iOS, Microsoft Windows, OS X, PlayStation 3, PlayStation 4, Xbox 360, and Xbox One. 12/7/2023 0 Comments Sequence game travel![]() Definitely made the drive seem shorter as we played it several times. It’s your easy and super fun to play with the family. My kids loved playing this on our way to Florida. They truly enjoy playing it and well what more can you ask for and it’s not a device! Super fun game that has actually kept my boys busy for more time than I would have expected. It's very fun to play and we are happy to have it. Overall though, this is a great game that requires thinking and luck. It could have less depth and still fit everything inside. The travel tin is a bit large to take while traveling. If the gameboard and pieces were magnetic I would say it would be even better. I would hesitate to play it in the car or on an airplane as there are a lot of tiny pegs that could get tipped over or easily lost. It is good for home, a hotel room, or a camper. This Sequence Travel Tin is great to have! We enjoy playing it as a family. I appreciate that everything can get tidied up back in the container and it’s easy to take places! Definitely recommend! Between traveling for ball and family game nights, this is perfect for us! My kiddos can play it on their own but we also love playing together. I would love to try other traveling games from this company. Continued abuse of our services will cause your IP address to be blocked indefinitely.This came came in handy when we were traveling in the car with the kids. Please fill out the CAPTCHA below and then click the button to indicate that you agree to these terms. If you wish to be unblocked, you must agree that you will take immediate steps to rectify this issue. If you do not understand what is causing this behavior, please contact us here. 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The latest version of the Opera browser sends multiple invalid requests to our servers for every page you visit.The most common causes of this issue are: Your IP address has been temporarily blocked due to a large number of HTTP requests. 12/7/2023 0 Comments Yellow ghost pacmanI’m not sure that chomping desserts is specifically a girl thing, but it worked out well for Iwatani, so maybe I’m the one who doesn’t know what he’s talking about. In his mind, girls really liked to eat, particularly sweets and desserts, so he decided to make a game based around eating. Unfortunately, poor Iwatani didn’t have a terribly deep understanding of the women he wanted to attract. He thought they were dirty and smelly and figured they’d be much nicer places to visit if somebody other than teenage guys hung out there, so he specifically set out to create a game that would appeal to women and couples. Iwatani’s general disinterest in gaming and computers would actually serve him well. Pac-Man was designed to appeal to female gamers. Iwatani may not have had the qualifications, but he was clearly quite the artiste. ![]() So, the bosses filed this unqualified, directionless kid away in their design department, likely expecting to never hear from him again. Iwatani wanted to get into making pinball machines, but Namco didn’t even make pinball machines. They restrict me, and I’m no different from any artist – I don’t like constraints.” Hardware limitations become my limitations. There’s a limit to what you can do with a computer. A computer is not the only medium that uses images, it just so happens I use the computer. I’m interested in creating images that communicate with people. “I don’t have any particular interest in. Iwatani had no formal training in engineering, programming or graphic design and had no particular interest in video games. Toru Iwatani joined Namco in 1977 at the tender age of 22, with basically zero qualifications. The creator of Pac-Man was in no way qualified to create Pac-Man. The creator of Pac-Man had no formal training, and didn’t even like computers. Here’s a few tasty facts you may not know about the original Pac-Man… Three-and-a-half decades later, the little yellow guy is still going strong. Pac-Man is one of those rare games that simply refuses to age. ![]() Pac-Man had characters, carefully designed stages, and - in its own simple way - actually told a story. Pac-Man was the first title to prove video games could be more than simple, reflex-testing digital toys. Pac-Man was the first game to feature power-ups, and its level design and AI was far more advanced than anything else on the market at the time. ![]() 35 years ago today, Pac-Man first waka waka waka-ed its way into Japanese arcades, and it’s nearly impossible to overstate the game’s influence. 12/7/2023 0 Comments Relax and take notes biggie smalls![]() ![]() 7 album - including song video, artist biography, translations and more: Relax and take notes while I take tokes of the marijuana Smoke relax and take notes gun smoke gun smoke I just want t. from the Heavy Rotation Allstar Compilation, Vol. The last verse and hook were performed at the Up in Smoke Tour by Eminem and D12 member Proof. Relax & Take Notes Lyrics by The Notorious B.I.G. The song was also sampled in the song "Relax And Take Notes", a song by 8Ball & MJG which features Project Pat, from their 2007 album Ridin High. The line "relax and take notes" is also put in a mix for the mixtape introduction, provided and contributed by DJ Vlad & Roc Raida with Linkin Park's Mike Shinoda as the host for the album. Relax and take notes While I take tokes of the Marijuana smoke Throw you in a choke Gun smoke guns smoke Biggie smalls for mayor The rap slayer The hooker layer Motherfucker say your. And Project Pat (Explicit Album Version) song by 8Ball & MJG now on JioSaavn. This song was mashed up with Led Zeppelin's " Whole Lotta Love" from the 2006/2007 mixtape Rock Phenomenon, which features the alternate second verse coming from the Notorious B.I.G. Relax And Take Notes Featuring Notorious B.I.G. And Project Pat Explicit MP3 Song Free by 8Ball & MJG from Ridin High (U.S. ![]() The YouTube version of the video doesn't feature him. Song playing: The bigger the strong you got it going on, you dead wrong Relax and take notes. Its an Awesome Local Neighborhood Spot to come Relax and Enjoy the Beautiful View of. Eminem appears in the video in a separate clip, rapping his lyrics in the style of a freestyle video submission. Biggies Burgers, Shorecliffs Bar & Grill, Hendrix Restaurant and Bar. The video was set out in a similar manner to Tupac's song " Changes", which was released in 1998, in the fact that it features clips of Biggie performing live, in interviews, clips of his music videos and showing pictures of him. Rolling Stone wrote a positive overview: "The only real find here is the awesome "Dead Wrong," which shows B.I.G. It was received positively by music critics. The song features background vocals from Diddy and it was released as a single posthumously in 1999. Relax And Take Notes Ft. featuring fellow American rapper Eminem, taken from the former's third overall album, Born Again. " Dead Wrong" is a song by American rapper The Notorious B.I.G. Section VII also analyzes 23 Code of Federal Portation departments against design consultantsĪnd contractors for their plan or design errors and Section VII considers the issue of claims by trans. Terclaims, cross-claims, and third-party claims by orĪgainst a transportation department that involve Of course,Ĭases against contractors may include claims againstĪ transportation department or may result in coun. Tion of a discretionary decision for which the govern. The claim arises out of the contractorâs implementa. When it is acting as the agent of the government and Under federal law and the law of some states, a gov-Įrnment contractor indeed may claim immunity Tractors and, if they are sued for a defective plan orĭesign, whether they may claim sovereign or gov-Įrnmental immunity on the same basis as the owner, Section VI turns to the subject of government con. That exist in some states in which the question hasĪrisen as to whether design errors or omissionsĬonstitute a defect within the meaning of the statute. Section V briefly discusses highway-defect statutes Plan or design was prepared and/or approved in the That a transportation department is immune from aĬlaim that arises out of an alleged defective plan orĭesign of a highway or other improvement when the Plan- or design-immunity statutes generally provide ![]() Immunity in a few states may not be perpetual, state Governmental actions and decisions that involve theĮxercise of discretion. Utes are in addition to state statutes that immunize Nity for transportation departments and, in some Appen-ĭix B collects state statutes on plan or design immu. Statutes that are found in at least 18 states. Section IV discusses plan- or design-immunity Preparing or approving a plan or design that ulti. Section III analyzes cases in which transportationĭepartments have been held not liable for the per-įormance of discretionary functions, such as when Although there may beĮxceptions, such as for known hazardous conditions, Ment agencies for their actions that are discretion-Īry and therefore immune. Statutes and some cases on the immunity of govern. Nity is not addressed by statute, such as in a tortĬlaims act, the courts have held that governmentĪgencies have immunity at common law for theĮxercise of their discretion. Its immunity for certain claims, a transportationĭepartment still may have immunity when it exer-Ĭises its discretion in planning or designing public Section III explains that even if a State has waived Serve the Stateâs sovereign immunity with someĮxceptions or waive the Stateâs sovereign immunityīut retain exceptions or exclusions from liability. Immunity acts, or the equivalent that generally pre. States have enacted tort claims acts, governmental Ment for the precise claim being asserted. Waived the immunity of the transportation depart. The threshold question may be whether the State has Liability for design errors and omissions.1 As dis-Ĭussed in Section II, in actions against transportationĭepartments for a defective plan or design causingĪn injury to a motorist or other member of the public, The digest discusses transportation departmentsâ ![]() Because it is UNCORRECTED material, please consider the following text as a useful but insufficient proxy for the authoritative book pages.ģLIABILITY OF STATE DEPARTMENTS OF TRANSPORTATION FOR DESIGN ERRORS Below is the uncorrected machine-read text of this chapter, intended to provide our own search engines and external engines with highly rich, chapter-representative searchable text of each book. 12/7/2023 0 Comments Anime graphic cards![]() ![]() Super Alloy Power II includes premium alloy chokes, solid polymer capacitors, and an array of high-current power stages.2.9-slot design expands cooling surface area compared to last gen for more thermal headroom than ever before.Such clock speed is used by the vast majority of RTX 4070 Ti models on the market, so it is definitely not the slowest, but there are much faster custom. This is a factory-overclocked model with boost clock set to 2685 MHz (+2.9) and increased default power to 300W (+15W). Axial-tech fan design has been tuned up with more fan blades and a reversed rotational direction for the center fan. MaxSun RTX 4070 Ti iCraft is powered by AD104 GPU with 7680 CUDA cores.Special edition GUNDAM design modeled after the series’ premier mech.OC Edition: Boost Clock 1935 MHz (OC Mode)/ 1905 MHz (Gaming Mode).Now with support for up to 8K resolution, these cores deliver a massive boost in game performance and all-new AI capabilities. 3rd Generation Tensor Cores: Get up to 2X the throughput with structural sparsity and advanced AI algorithms such as DLSS.Pink and Turquoise Alley Anime UI Generic Quote / Statement. I'd also really like to buy a Touhou themed GTX 780 and and R9 290X. It would be a nice collector's item, much like a console, and would still play games for years to come. The game runs pretty well on Intel HD graphics cards, so your low-end Nvidia/AMD card shouldn’t be an issue. The game is fun, and if you’re a fan of Digimon, that’s a plus too. Merging precision engineering with distinct artistry, our collection adds flair to your rig while ensuring top-tier performance. Anime Boy looking at dramatic sky Phone Wallpaper. I'd really like to buy graphics cards like this, even though the HD 4870 is outdated. In the beginning, the player starts with weak Digimon, but later on, he can recruit new powerful creatures that will be very helpful throughout the game. Elevate your gaming experience with V1 Techs meticulously crafted RGB backlit GPU backplates. 2nd Generation RT Cores: Experience 2X the throughput of 1st gen RT Cores, plus concurrent RT and shading for a whole new level of ray tracing performance. Purple Colorful Cartoon Illustrative Anime Presentation.NVIDIA Ampere Streaming Multiprocessors: The building blocks for the world’s fastest, most efficient GPU, the all-new Ampere SM brings 2X the FP32 throughput and improved power efficiency. |
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