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 »
Medi-Cal to Delay Provider Payments in June The California Department of Health Care Services announced it would delay payments for two weeks in June so that those claims are paid out of the 2014-2015 fiscal year budget. June 3, 2014 Medi Cal, Payment California Department of Health Care Services, checkwrite, Medi-Cal provider payment 0 0 Comment Read More »
Get Ready for Sunshine: Phase 1 Registration Begins June 1 CMS will soon allow physicians and teaching hospitals to review Sunshine (Open Payments) disclosures from industry about payments and other transfers of value made to them during the reporting period. Phase 1 registration begins on June 1, 2014. May 22, 2014 News, Payment, Physician Resource Open Payments, Physician Payments Sunshine Act (, Sunshine Act 0 0 Comment Read More »
AB 1805 Bill to Reverse Medi-Cal Provider Rate Cuts Unanimously Pass First Hurdle The Assembly Committee on Health unanimously voted 19-0 on AB 1805 to reverse the 10% Medi-Cal provider reimbursement rate cuts that was enacted as part of the 2011 State Budget Act. April 25, 2014 Advocacy, Medi Cal, Payment Medi-Cal provider reimbursement, Richard Pan, 2014 legislation, AB 1805 0 0 Comment Read More »