Health Net Requesting Amendment to Physician Contracts to Disclose Reimbursement Rates Health Net recently notified physicians who are currently participating in its Covered California individual/exchange and/or SHOP HMO and PPO products of a request to amend the Health Net Provider Participation Agreement. July 3, 2014 Covered California, Payment Covered California, Health Net 0 0 Comment Read More »
IMQ Expands Peer Review Services The Institute for Medical Quality is expanding its services to include Clinical Case Review of individual cases and Judicial Review services in addition to our existing Comprehensive Peer Review services. July 3, 2014 Physician Resource Institute for Medical Quality, clinical case review, IMQ 0 0 Comment Read More »
Lewis Leng, MD: SFMS June 2014 Member of the Month Lewis Z. Leng, MD is a neurosurgeon at Pacific Neurosurgery and California Pacific Medical Center. Dr. Leng specializes in neuro-oncology, endoscopic pituitary and skull base tumor surgery, cerebrovascular surgery, and minimally invasive spine surgery. Dr. Leng has a special interest in treating pathologies of the brain and spine in a minimally invasive manner. July 3, 2014 Member of the Month, SFMS Member Lewis Leng, Member of the Month, SFMS Member 0 0 Comment Read More »
Error on Anthem ID Cards Results in Claim Denials Anthem Blue Cross denies claims despite providing incorrect ID card and eligibility information for Covered California EPO patients in San Francisco, Los Angeles, Orange, and San Diego counties. July 2, 2014 Covered California, Payment, Practice Management Anthem Blue Cross, Covered California, Anthem, EPO 0 0 Comment Read More »
SCOTUS' Contraception Ruling Will Have Little Effect on California California health insurance officials predict that most women in the state will not be affected by the U.S. Supreme Court's recent ruling on the Affordable Care Act's contraceptive coverage mandate. July 1, 2014 News, Politics and Medicine contraceptive coverage, Hobby Lobby, SCOTUS 0 0 Comment Read More »
