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 »
MICRA Lawsuit Measure Assigned Proposition Number The unprecedentedly broad and diverse coalition working to defeat the trial lawyers’ MICRA lawsuit measure is now officially the “No On 46” campaign, following the assignment of proposition numbers to qualified ballot measures by the Secretary of State’s Office on Monday. July 1, 2014 Advocacy, MICRA, News, Politics and Medicine Prop 46, Proposition 46, MICRA 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 »
SHOP Expanding to Allow Employers to Choose Two Benefit Levels Covered California announced that the state’s Small Business Health Options Program (SHOP) will expand to allow employers to offer health coverage in two benefit levels beginning October 1, 2014. June 23, 2014 Covered California SHOP, Covered California, Small Business Health Options Program 0 0 Comment Read More »