Covered California To Begin Outreach for Second Enrollment Period Covered California to begin outreach for its second enrollment period from November 15, 2014 to February 15, 2015. September 8, 2014 Covered California, Health Care Reform Covered California, enrollment period 0 0 Comment Read More »
Legislature Passes SB 964 to Require Annual Reports from Insurers on Network Adequacy California legislature has passed SB 964 to require Medi-Cal managed plans and insurers offering individual plans through Covered California to provide annual reports to the California Department of Managed Health Care (DMHC) about the adequacy of their provider networks. September 4, 2014 Advocacy, Covered California, Health Care Reform Covered California, network adequacy, SB 964 0 0 Comment Read More »
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 »
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 »
DMHC Investigating Anthem and Blue Shield Provider Networks The Department of Managed Health Care (DMHC) recently began conducting a “non-routine audit” of Anthem Blue Cross and Blue Shield of California to investigate the accuracy of the plans' provider directories and identify whether either plan violated any network adequacy laws. June 25, 2014 Covered California, News Anthem Blue Cross, Blue Shield of California, Covered California, network adequancy, provider directories, DMHC 0 0 Comment Read More »
