For the last several months, UnitedHealthcare has been meeting regularly with Providence Health (Providence) in California to renew its hospital and physician contracts so that members have continued ...
Underwriting Updates
DE9C Requirements
Effective immediately for groups 1-9 eligible, Sutter Health Plus will accept either a reconciled DE9C or a reconciled current premium invoice. For group 1...
Anthem currently sends claims payments directly to dentists when services are performed by a network dentist. Claims payments for out-of-network dentists are paid to the member. The member then has to...
Aetna helps make tax time easy
You and your clients have enough to think about. That's why Aetna keeps their AFA product simple, especially at tax time. In fact, Aetna handles 1095-B forms for your...
The following information is provided regarding the compliance of prescription drug data collection (RxDC) reporting by MediExcel Health Plan.
Prescription drug data collection (RxDC) reporting sta...
As part of the Consolidated Appropriations Act, Kaiser Permanente is required to submit information about prescription drug and health care spending on behalf of all fully insured and self-funded grou...
Kaiser Permanente® would like to invite you to the final 2022 webinar in their quarterly series that provides fresh perspectives on industry and business dynamics to help your clients better support e...
The flu season is here and Health Net understands members have no time to get sick. This year, they have partnered with Kinsa to pilot a program offering free local illness alerts. By signing up, memb...
As part of the Consolidated Appropriations Act, 2021 (CAA), which was signed into law on December 27, 2020, health insurance issuers and group health plans are required to submit information about pre...
The Transparency in Coverage rule requires health plans to share health care costs for members to make informed decisions on how they receive care. There are two main phases of the rule.
The first ...
Under the Consolidated Appropriations Act (CAA), health insurers offering group or individual health coverage and self-funded (ASO) group health plans are required to report data annually regarding pr...
Anthem sent an email to employers in September outlining Prescription Drug Data Collection (RxDC) reporting requirements that begin December 27, 2022.
The RxDC reporting provision of the Consolidat...