INSURANCES ACCEPTED BY SUPERIOR HOME HEALTH

Size: px
Start display at page:

Download "INSURANCES ACCEPTED BY SUPERIOR HOME HEALTH"

Transcription

1 INSURANCES ACCEPTED BY SUPERIOR HOME HEALTH

2 Aetna (PFFS) Austin Las Vegas Aetna PPO, POS, HMO & Worker s Comp Austin Las Vegas AmeriVantage (Medicare) Amerigroup HMO (Medicaid) Anthem (PFFS) Las Vegas Blue Cross Blue Shield Las Vegas

3 Cigna/CareCentrix Las Vegas Care Improvement Plus (PPO) CHAMPVA Humana ChoiceCare PPO/EPO Coventry Health Care (PFFS) Las Vegas Coventry Health Care PPO/HMO (under Aetna) Las Vegas

4 Deseret Secure (PFFS) deseret mutual Driscoll Children s Health Plan (Medicaid HMO) (Maverick County ONLY) EVERCARE (UHC) First Call Pharmacy First Health HMO (under Valley Baptist Health Plan)

5 First Health (PFFS) Healthnet (PFFS) HealthSmart HealthSpring (Medicaid HMO) (Maverick County ONLY) HealthSpring (Medicare HMO) Humana (PPO, HMO & PFFS) Humana Gold (HMO)

6 Intergrated Health Plans (IHP) Medica (PFFS) Interplan Health Group (IHG) Austin Medicaid (Traditional) Medicare (Traditional)

7 Molina HealthCare Medicaid HMO (STAR and STAR+PLUS) Molina HealthCare Medicare Advantage Plan MultiPlan Patient ID card must have above Logo Network PlatinumPlus PPO PacifiCare

8 Paragon Infusion Care Physicians Health Choice Medicare Advantage Plan (WellMed) name changed to United AARP effective 1/1/2014 PHCS Patient ID card must have above Logo RGV PPO (Doctors Hospital at Renaissance) Secure Horizons (PFFS)

9 Sterling Life (PFFS) Superior Health Plan Medicaid HMO & Medicare HMO Today s Options -Pyramid (PFFS) Tricare Standard (NOT Prime) Unicare (PFFS)

10 United Healthcare (PFFS/PPO/HMO/POS) United Healthcare Community Care (Medicaid HMO) Austin Universal (PFFS) University Health System Austin Univita (Humana Gold ) - ONLY

11 VA Las Vegas Valley Baptist Health Plan (PPO & HMO) VIAcare (VIA Metropolitan Transit) WellCare (HMO) INSURANCE PLANS/TYPES: PFFS PRIVATE FEE-FOR-SERVICE PPO-PREFERRED PROVIDER ORGANIZATION HMO-HEALTH MAINTENANCE ORGANIZATION

12 The following payors must also be under Ancillary Care Services. This means, the patient s ID card must have the above logo Ancillary Care Services in addition to one of the following below to be accepted by any Superior Home Health offices. HealthSmart Benefit Solutions (Formerly AAG) Cornerstone Preferred Resources Travel Care Services (TCS)

13 Includes: Alternative Benefit Plans, Inc Auxiant Custom Design Benefits Golden Rule Insurance Little Rapids Corporation Preferred Administrators Professional Risk Management Underwriters Safety & Claims UMR Includes: EBMC JP Farley Corporation MCA Administrators Meritain MedBen Includes: CoreSource Assurant CBSA Anchor Benefit Consulting Includes: Southern California United Allied Benefit Systems Group Administrators Includes: AAG Benefit Planners Benesight Boone-Chapman Group & Pension Administrators Principal Life Insurance Company Producers Exchange Benefit Services Smith Administrators Web TPA Includes: Spectrum Administrators The Loomis Company Unicare Life and Health Ins Co Health America Magna Care Vale-U-Health Principal Financial Group EHP, Inc

14 Includes: AIM Administrators Assurant Health Baker Benefit Administrators CBCA Employee Benefit Services FARA Benefit Services Fiserv Health Mega Life and Health Mutual Assurance Special Insurances Services Allied Benefit Systems End of Ancillary Care Services List

15 The following payors must also be under Three Rivers Provider Network. This means, the patient s ID card must have the above logo TRPN to in addition to one of the following below to be accepted by any Superior Home Health offices. These plans include health, workers comp and liability.. EMPLOYEE BENEFIT ADMINISTRATORS and FIDELITY INSURANCE COMPANY Many more insurances also accepted. The above insurances are common plans within Texas. If patient has Three Rivers Provider Network logo on insurance with another plan not listed above, it may also be accepted. Call our billing department for clarification if needed. End of Three Rivers Provider Network List

16 The following Managed Care Payor Contracts under HomeLink Network. This means, the patient s ID card must have the above logo in addition to one of the following below to be accepted by any Superior Home Health offices. These plans include health, workers comp and liability.

17

18 Superior Home Health, directly or through a contractor or any other entity with whom Superior Home Health arranges to carry out its programs and activities shall make available and provide services to all persons without regard to race, color, creed, sex, national origin, handicap, sexual orientation, age, marital status, status with regard to public assistance or veteran status in compliance with 45 CFR Parts 80, 84, and 91. (Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973 and the Age Discrimination Act of 1975) REVISION: 03/28/2014

UC Health Accepted Insurance Plans

UC Health Accepted Insurance Plans 3-hab Ohio Worker's Comp ID Card Worker's Comp YES YES YES YES AARP Medicare Complete (underwritten by United Health Care Medicare Advantage AARP (Supplemental underwritten by United Healthcare) Commercial

More information

UC Health Accepted Insurance Plans

UC Health Accepted Insurance Plans INSURANCE CARD TYPICAL NAME PRODUCT TYPE UCMC TDC WCH UCPC 3-hab Ohio ID Card AARP Medicare Advatage Complete (underwritten by United Health Care Medicare Advantage AARP (Supplemental underwritten by United

More information

Compass Dermpath Arizona ACPN - PPO Aetna AHCCCS Ameriplan Discount Card Ameriben APIPA AZFMC Beech Street AP Plan Beech Street Auto Beech Street PPO

Compass Dermpath Arizona ACPN - PPO Aetna AHCCCS Ameriplan Discount Card Ameriben APIPA AZFMC Beech Street AP Plan Beech Street Auto Beech Street PPO Compass Dermpath Arizona ACPN - PPO Aetna AHCCCS Ameriplan Discount Card Ameriben APIPA AZFMC Beech Street AP Plan Beech Street Auto Beech Street PPO Beech Street Worker's Comp Blue Cross Blue Shield of

More information

UC Health Contracted Insurance Plans

UC Health Contracted Insurance Plans CONTRACT NAME INSURANCE CARD TYPICAL NAME PRODUCT TYPE UCMC TDC WCH UCPC PSYC IN 3-Hab 3-hab Ohio Worker's Comp ID Card Worker's Comp YES YES YES YES AARP Medicare Advantage AARP Medicare Complete (underwritten

More information

Administrators & Consultants Advantica (Vision Only) Advantical Eye Care (WellCare Medicare Advantage) Commercial

Administrators & Consultants Advantica (Vision Only) Advantical Eye Care (WellCare Medicare Advantage) Commercial Eye Care Exam Insurance Plans & Benefits at Baltimore Washington Eye Center Baltimore Washington Eye Center and our ophthalmologists and optometrists accept many eye care exam insurance plans and benefits.

More information

Accepted Insurance Providers*

Accepted Insurance Providers* AARP Accepted Insurance Providers* AARP Medicare Advantage PPO AARP Personal Health Insurance Plan Aetna Aetna Choice POS (Aetna HealthFund) Aetna Choice POS II (Aetna HealthFund) Aetna Choice POS Aetna

More information

Virginia Mason Insurance Grid (2014-2015)

Virginia Mason Insurance Grid (2014-2015) Aetna HMO Plans: Aetna Select Aexcel Plus Elect Choice EPO Open Access Managed Choice * *Insurance approved specialty care referral is not required if patient has PCP. POS Plans: QPOS Managed Choice POS

More information

Commercial Insurance Plan Contracts

Commercial Insurance Plan Contracts Commercial Insurance Plan Contracts At Mayo Clinic's campus in Arizona, Mayo Clinic providers and Mayo Clinic Hospital are contracted with the organizations listed below. Your benefit coverage for care

More information

Commercial Insurance Plan Contracts

Commercial Insurance Plan Contracts Commercial Insurance Plan Contracts At Mayo Clinic campus in Rochester, Minnesota, Mayo Clinic providers and hospitals are contracted with the organizations listed below. Your benefit coverage for care

More information

Health Insurance/Managed Care

Health Insurance/Managed Care To meet the healthcare needs in our region, Hospital, and (Cadence Health-employed physician group) is contracted with the following health insurance and managed care plans (unless otherwise noted). This

More information

Appendix C Most Common Payer ID/Health Plan ID Numbers (NAIC Codes)

Appendix C Most Common Payer ID/Health Plan ID Numbers (NAIC Codes) Most Common Payer ID/Health Plan ID Numbers ( s) Aetna Better Health, Inc. Medicaid HMO 25 13735 Aetna Health, Inc. HMO 45 95109 Aetna Health, Inc. Medicare HMO 15 95109 Golden Medicare Aetna Health, Inc.

More information

Health Plans Accepted by the Hospital (Effective 1/18/2016)

Health Plans Accepted by the Hospital (Effective 1/18/2016) 1199SEIU National Benefit Fund Home Care Benefit Fund Greater New York Benefit Fund Health Plans Accepted by the Hospital (Effective 1/18/2016) AARP AARP Medicare Complete Plan 1 United HealthCare AARP

More information

Direct Data Submission (DDS) 2013 Report Year Insurance Coverage Data Field Specifications & Codes

Direct Data Submission (DDS) 2013 Report Year Insurance Coverage Data Field Specifications & Codes Why is submitting accurate insurance data important? The insurance coverage code and member ID number are required data for Direct Data Submission (DDS). MNCM shares this information with the identified

More information

Overview -Listing of Provider Agreements-

Overview -Listing of Provider Agreements- -Listing of s- CORAL GABLES SPECIALTY PHYSICIANS "UHZ" SPORTS MEDICINE PRACTICE Dr. Uribe Dr. Hechtman Dr. Zvijac Dr. San Completed- -In Process Incomplete / Non- # 63-1071721 63-1071721 63-1071721 63-1071721

More information

CONTINUUM HEALTH PARTNERS Physician Profile Fact Sheet

CONTINUUM HEALTH PARTNERS Physician Profile Fact Sheet CONTINUUM HEALTH PARTNERS Physician Profile Fact Sheet All physicians affiliated with any one of the Continuum Health Partners hospitals are invited complete this Profile Fact Sheet. The information on

More information

UNDERSTANDING YOUR MEDICARE COVERAGE AND HOW IT WORKS IN OUR PRACTICE

UNDERSTANDING YOUR MEDICARE COVERAGE AND HOW IT WORKS IN OUR PRACTICE UNDERSTANDING YOUR MEDICARE COVERAGE AND HOW IT WORKS IN OUR PRACTICE Wake Internal Medicine Consultants, Inc. 3100 Blue Ridge Road Suite 300 Raleigh, NC 27612 919 781 7500 Page 1 of 11 Navigating this

More information

ACCEPTED INSURANCE PLANS

ACCEPTED INSURANCE PLANS ACCEPTED INSURANCE PLANS The University of Chicago Medicine currently participates in the health insurance products listed below. Patients are advised to contact their insurance company to confirm the

More information

Can Patient Sign a EXAM. Aetna Must check each plan for details No CT's and MRI's 1 week Medsolutions 888.693.3211 cpt specific

Can Patient Sign a EXAM. Aetna Must check each plan for details No CT's and MRI's 1 week Medsolutions 888.693.3211 cpt specific INSURANCE COMPANY Can Patient Sign a WAIVER? EXAM Schedule Out AARP/MEDICARE Complete No CT's and MRI's 2 weeks UHC West cpt specific Aetna Must check each plan for details No CT's and MRI's 1 week Medsolutions

More information

Epocrates - Medicare Part D 2008 1

Epocrates - Medicare Part D 2008 1 AK 00008014 S5660 034 MEDCO CONTAINMENT LIFE INSURANCE COMPANY Medco Medicare Prescription Plan - Choice Medco Medicare Choice PDP AK 00008014 S5660 204 MEDCO CONTAINMENT LIFE INSURANCE COMPANY Medco Medicare

More information

PCA Client Update. Impact of HSCRC Coding Changes on PCA Inpatient Data Variables for Q 3 2005

PCA Client Update. Impact of HSCRC Coding Changes on PCA Inpatient Data Variables for Q 3 2005 PCA Client Update Read This Document Carefully Before Generating Reports Using PCA with Maryland Data Impact of HSCRC Coding Changes on PCA Inpatient Data Variables for Q 3 2005 Effective December 15,

More information

Crystal Run Healthcare Insurance 1199 NBF (MVP) AARP Products AARP Medicare Complete HMO 1 and 2 AARP Medicare Complete Essential HMO Aetna Products

Crystal Run Healthcare Insurance 1199 NBF (MVP) AARP Products AARP Medicare Complete HMO 1 and 2 AARP Medicare Complete Essential HMO Aetna Products Crystal Run Healthcare Insurance 1199 NBF (MVP) AARP Products AARP Medicare Complete HMO 1 and 2 AARP Medicare Complete Essential HMO Aetna Products Aetna Standard Plans: Aetna Affordable Health Choices

More information

ACS EDI Gateway, Inc. Eligibility Payer List

ACS EDI Gateway, Inc. Eligibility Payer List AARP (A UnitedHealthcare Insurance Company) Acordia (Mohawk Carpet and Hickory Springs) American Community Mutual American Postal Workers Union Aetna Aetna Long Term Care Aflac - Dental Aftra Health Fund

More information

Accepted Health Plan List

Accepted Health Plan List Anthem Blue Cross Advantage PPO Blue Cross PPO (Prudent Buyer)-Large Group Blue Cross PPO (Prudent Buyer)-Small Group Bronze 60 D EPO (Pathway-Tiered EPO/ Bronze 60 D Health Savings Account EPO (Pathway

More information

Florida Medicaid Recipients With Other Medical Insurances. April 2013

Florida Medicaid Recipients With Other Medical Insurances. April 2013 Florida Medicaid Recipients With Other Medical Insurances April 2013 1 Section 1 The Basics 2 What is Third Party Liability? Third Party Liability (TPL) is the obligation of any entity other than Medicaid

More information

CREDENTIALING. CONTRACTING Over 500 Contracts Executed in over 25 states. CREDENTIALING Over 3000 credentialing applications completed

CREDENTIALING. CONTRACTING Over 500 Contracts Executed in over 25 states. CREDENTIALING Over 3000 credentialing applications completed CREDENTIALING Practice Velocity has the only full-time team focused on contracting and credentialing for urgent care. This specialized team requests and reviews contracts, performs comparative fee analyses,

More information

Accepted Insurance Plans

Accepted Insurance Plans Accepted Insurance Plans A-C A & H Limited Health Claims AARP Accordia National Administrative Concepts Aetna Aid Association for Lutherans AIG Accident & Health Alaska Laborers Construction Industry Allied

More information

Contracted Insurance Plans and Episodic Programs Accepted at NCHS

Contracted Insurance Plans and Episodic Programs Accepted at NCHS Contracted Insurance Plans and Episodic Programs Accepted at FQHC CHDP/FQHC Newborn FQHC 3 161 16 Medi- Cal (straight Medi- Cal) - eligibility is issued from the state Medi- Cal and billing is sent directly

More information

Issuers Owing Rebates for 2012

Issuers Owing Rebates for 2012 AK Premera Blue Cross $709,464 Time Insurance Company $227,600 Trustmark Life Insurance Company $645,743 UnitedHealthcare Insurance Company $62,894 AL The MEGA Life and Health Insurance Company $62,541

More information

Issuers Owing Rebates for 2012 Data as of August 1, 2013 Rebates in the Individual Market

Issuers Owing Rebates for 2012 Data as of August 1, 2013 Rebates in the Individual Market AK Premera Blue Cross $709,464 Time Insurance Company $227,600 Trustmark Life Insurance Company $645,743 UnitedHealthcare Insurance Company $62,894 AL The MEGA Life and Health Insurance Company $62,541

More information

NCQA's Health Insurance Plan Rankings 2010-11 Medicare Plans October 18, 2010

NCQA's Health Insurance Plan Rankings 2010-11 Medicare Plans October 18, 2010 1 Capital Health Plan HMO 89 Yes FL http://www.capitalhealth.com 2 Kaiser Foundation Health Plan of Colorado HMO 88.9 Yes CO http://www.kp.org 3 Fallon Community Health Plan HMO 88.9 Yes MA http://www.fchp.org

More information

NCQA s Medicaid health insurance rankings

NCQA s Medicaid health insurance rankings These rankings of Medicaid health insurance plans are based on data and calculations from the Committee for Quality Assurance, a nonprofit quality measurement and accreditation organization. The rankings

More information

1199 NATIONAL BENEFIT FUND AMERICAN HEALTHCARD AMERICAN MEDICAL SECURITY ACTION HEALTHCARE MANAGEMENT SERVICES AMERICAS CHOICE HEALTH PLANS

1199 NATIONAL BENEFIT FUND AMERICAN HEALTHCARD AMERICAN MEDICAL SECURITY ACTION HEALTHCARE MANAGEMENT SERVICES AMERICAS CHOICE HEALTH PLANS 1199 NATIONAL BENEFIT FUND AMERICAN HEALTHCARD 21ST CENTURY HEALTH AMERICAN INSURANCE SOLUTIONS 4MOST HEALTH NETWORK AMERICAN MARITIME OFFICERS PLAN AARP AMERICAN MEDICAL SECURITY ACCENT HEALTH AMERICAN

More information

For Alaska, Arizona, Colorado, Hawaii, Iowa, Nevada, North Dakota, Oregon, South Dakota, Washington and Wyoming:

For Alaska, Arizona, Colorado, Hawaii, Iowa, Nevada, North Dakota, Oregon, South Dakota, Washington and Wyoming: The following companies are contracted with Noridian Administrative Services, LLC to receive Medicare Part B crossover claims. There is no need to submit Medigap information on claims for these companies.

More information

Issuers Owing Refunds for 2013

Issuers Owing Refunds for 2013 Issuers Owing Refunds for 2013 Based on MLR reports filed through June 30, 2014 State AK Premera Blue Cross $2,626,786 $0 $0 The MEGA Life and Health Insurance Company $39,115 $0 $0 Time Insurance Company

More information

1-800-783-1008 www.theptgroup.com

1-800-783-1008 www.theptgroup.com Scheduling and Billing NPI#1780614453 1-800-783-1008 www.theptgroup.com PHYSICAL THERAPY MANAGED CARE BENEFITS/PRIOR AUTHORIZATION Outpatient Physical Therapy Centers Apollo, Blairsville, Derry, Greensburg-Pellis

More information

PAYER TYPE LIST PAYER TYPE CODE PAYER TYPE DEFINITION

PAYER TYPE LIST PAYER TYPE CODE PAYER TYPE DEFINITION PAYER TYPE LIST PAYER TYPE CODE PAYER TYPE DEINITION PAYER TYPE ABBREVIATION 1 Self Pay SP 2 Worker's Compensation WC 3 Medicare MCR Medicare Managed Care 4 Medicaid 4 B Medicaid Managed Care 5 Other Government

More information

Your questions answered

Your questions answered About the ings These ings of private, Medicare, and Medicaid health-insurance plans (HMOs and s) are based on data and calculations from the Committee for Quality Assurance (NCQA), an independent nonprofit

More information

SUMMARY ANNUAL REPORT For CITIBUILDER 401(k) PLAN FOR PUERTO RICO This is a summary of the annual report for Citibuilder 401(k) Plan for Puerto Rico,

SUMMARY ANNUAL REPORT For CITIBUILDER 401(k) PLAN FOR PUERTO RICO This is a summary of the annual report for Citibuilder 401(k) Plan for Puerto Rico, For CITIBUILDER 401(k) PLAN FOR PUERTO RICO This is a summary of the annual report for Citibuilder 401(k) Plan for Puerto Rico, EIN 66-0177415, Plan No. 002, for period January 01, 2012 through December

More information

Medicare Health Plans for Medicare-Covered Retirees and Medicare-Covered Dependents. Briefing by. Human Resources Department

Medicare Health Plans for Medicare-Covered Retirees and Medicare-Covered Dependents. Briefing by. Human Resources Department Medicare Health Plans for Medicare-Covered Retirees and Medicare-Covered Dependents Briefing by Human Resources Department CITY OF HOUSTON BUDGET AND FISCAL AFFAIRS COMMITTEE SEPTEMBER 30, 2014 What is

More information

Insurance Terms 101. Patient Access Specialists I

Insurance Terms 101. Patient Access Specialists I Access Management Insurance Terms 101 University of Mississippi Medical Center Patient Access Specialists I As a Patient Access Specialist Your job is to collect ACCURATE patient information during registration.

More information

Xerox EDI Eligibility Gateway 276/277 Payer Guide

Xerox EDI Eligibility Gateway 276/277 Payer Guide Xerox EDI Eligibility Gateway 276/277 Guide Version 5010 Technical Support: [email protected] Updated October 31, 2014 2014 Xerox Corporation. All rights reserved. XEROX and XEROX and Design are trademarks

More information

empireblue.com Empire Dual Advantage (HMO SNP) Dental-Yes Identification Number: Group: Issuer (80840): Rx Group: RX Bin: RxPCN:

empireblue.com Empire Dual Advantage (HMO SNP) Dental-Yes Identification Number: Group: Issuer (80840): Rx Group: RX Bin: RxPCN: Empire Dual Advantage (HMO SNP) H3370-028-000 X19690192400001 Freedom I (PPO) $20/$50 $40/$75 H3342-019-000 X19716256700001 Medicare limiting charges apply. Customer Service: 1-866-395-5175 Provider Service:

More information

Fact Sheet - 2014 Star Ratings

Fact Sheet - 2014 Star Ratings Fact Sheet - 2014 Star Ratings Star Ratings are driving improvements in Medicare quality. This year there have been significant increases in the number of Medicare beneficiaries in high-performing Medicare

More information

Introducing OneExchange.

Introducing OneExchange. RETIREE BENEFITS Introducing OneExchange. OneExchange provides you with plan advice and enrollment assistance to choose Medicare supplemental healthcare and prescription drug coverage that s right for

More information

Guide to Choosing a Medicare Prescription Drug Plan in Connecticut

Guide to Choosing a Medicare Prescription Drug Plan in Connecticut Medicare Prescription Drug - Choosing the Plan that s Right for You! Guide to Choosing a Medicare Prescription Drug Plan in Connecticut Medicare Prescription Drug, also called Part D or Medicare Rx, is

More information

Composite of Insurance Complaints Investigated by the Illinois Department of Insurance in the Year 2009

Composite of Insurance Complaints Investigated by the Illinois Department of Insurance in the Year 2009 Composite of Insurance Investigated by the Illinois Department of Insurance in the Year HMO 437 Insurance Company 7,883 8,320 Not Categorized 2,074 Total 10,394 by Line of Coverage Auto 2,449 24% Homeowners

More information

ORDINARY LIFE BUSINESS... 1 CREDIT LIFE BUSINESS... 2 GROUP LIFE BUSINESS... 3 INDUSTRIAL LIFE BUSINESS... 4 TOTAL LIFE BUSINESS...

ORDINARY LIFE BUSINESS... 1 CREDIT LIFE BUSINESS... 2 GROUP LIFE BUSINESS... 3 INDUSTRIAL LIFE BUSINESS... 4 TOTAL LIFE BUSINESS... YEAR 2011 ORDINARY LIFE BUSINESS... 1 CREDIT LIFE BUSINESS... 2 GROUP LIFE BUSINESS... 3 INDUSTRIAL LIFE BUSINESS... 4 TOTAL LIFE BUSINESS... 5 ORDINARY ANNUITIES BUSINESS... 6 GROUP ANNUITIES BUSINESS...

More information

Street Address Apt. or Post Office Box. City State Zip. Telephone Primary: ( ) Home Work Cell. Date of Birth / / Social Security # - -

Street Address Apt. or Post Office Box. City State Zip. Telephone Primary: ( ) Home Work Cell. Date of Birth / / Social Security # - - Appointment Information Date: Time: Physician: Patient Information Name: First MI Last Street Address Apt. or Post Office Box City State Zip Telephone Primary: ( ) Home Work Cell Work: ( ) Cell: ( ) Date

More information

Preparing for Texas Star+Plus Medicaid

Preparing for Texas Star+Plus Medicaid Preparing for Texas Star+Plus Medicaid Managed Care in your nursing facility Dec. 11, 2014 Presented by: KELLY ROBERTS TRETA VP of Reimbursement and Ancillary Services, Creative Solutions in Healthcare

More information

Your questions answered

Your questions answered About the ings These ings of private, Medicare, and Medicaid health-insurance plans (HMOs and s) are based on data and calculations from the Committee for Quality Assurance (NCQA), an independent nonprofit

More information

2016 HIV Pre-Exposure Prophylaxis (PrEP) Health Insurance Assessment

2016 HIV Pre-Exposure Prophylaxis (PrEP) Health Insurance Assessment 2016 HIV Pre-Exposure Prophylaxis (PrEP) Health Insurance Assessment December 2015 Report produced by: Cesar Egurrola Clinical Coordinator Petersen Clinics Shannon Smith Director, Special Projects Department

More information

October 15, 2015. Members of the Legislative Audit Committee:

October 15, 2015. Members of the Legislative Audit Committee: John Keel, CPA State Auditor A Report on Health and Human Services Commission Contracts October 15, 2015 Members of the Legislative Audit Committee: Senate Bill 20 (84th Legislature) required that, in

More information

To Enroll in Cigna HealthSpring Preferred Plus, Please Provide the Following Information:

To Enroll in Cigna HealthSpring Preferred Plus, Please Provide the Following Information: Cigna HealthSpring Preferred Plus (HMO) Medicare Advantage Plan 2015 Enrollment Request Form Please contact Cigna HealthSpring Preferred Plus if you need information in another language or format (Braille).

More information

Report to Board of Administration

Report to Board of Administration Report to Board of Administration Agenda of: DECEMBER 13, 2011 From: Alex Rabrenovich, Chief Benefits Analyst ITEM: VIII-A SUBJECT: MEDICARE STAR QUALITY RATINGS Recommendation: That the Board receive

More information

EXPECTED SOURCE OF PAYMENT Section 97265

EXPECTED SOURCE OF PAYMENT Section 97265 EXPECTED SOURCE OF PAYMENT Section 97265 The patient s expected source of payment, defined as the type of entity or organization which is expected to pay or did pay the greatest share of the patient s

More information

Quick Guide to Blue Cross and Blue Shield Member ID Cards

Quick Guide to Blue Cross and Blue Shield Member ID Cards Program from Quick Guide to Blue Cross and Blue Shield Member A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

More information

Testimony of Thomas R. McCarthy on Behalf of Aetna Inc.

Testimony of Thomas R. McCarthy on Behalf of Aetna Inc. Testimony of Thomas R. McCarthy on Behalf of Aetna Inc. Before the Florida Office of Insurance Regulation Thomas R. McCarthy, PhD Tallahassee, FL December 7, 2015 Overview 1 Figure 3 Distribution of All

More information

Aetna. Anthenn. Anthem-Federal Employees. Assurant Health. *These are just some of the insurance companies. we work with. CNIC.

Aetna. Anthenn. Anthem-Federal Employees. Assurant Health. *These are just some of the insurance companies. we work with. CNIC. MONTROSE COUNTY FAMILY PLANNING INSURANCE COMPANIES Aetna Anthenn Anthem-Federal Employees Assurant Health Champ-VA Cigna *These are just some of the insurance companies we work with. CNIC Cofinity Colorado

More information

PayerName Corporate Benefits Service MedCost Benefit Services 1199SEIU Covenant Admin Services Medica AARP (United Healthcare) Coventry - Advantra

PayerName Corporate Benefits Service MedCost Benefit Services 1199SEIU Covenant Admin Services Medica AARP (United Healthcare) Coventry - Advantra PayerName Corporate Benefits Service MedCost Benefit Services 1199SEIU Covenant Admin Services Medica AARP (United Healthcare) Coventry - Advantra Freedom Medica IFB AARP Medicare Complete Coventry - Advantra

More information

New Rochelle Radiology TIN: 13-2673297 Precertification Requirements

New Rochelle Radiology TIN: 13-2673297 Precertification Requirements New Rochelle Radiology TIN: 13-2673297 Precertification Requirements 175 Memorial Highway NPI: 1376539080 150 Lockwood Avenue NPI: 1003803784 PET/ Aetna through CareCore Aetna Golden icare through CareCore

More information

HCUP Methods Series Supplements 1-3 An Examination of Expected Payer Coding in HCUP Databases Report # 2014-03

HCUP Methods Series Supplements 1-3 An Examination of Expected Payer Coding in HCUP Databases Report # 2014-03 HCUP Methods Series Contact Information: Healthcare Cost and Utilization Project (HCUP) Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 http://www.hcup-us.ahrq.gov For Technical

More information

ORDINARY LIFE BUSINESS... 1 CREDIT LIFE BUSINESS... 2 GROUP LIFE BUSINESS... 3 INDUSTRIAL LIFE BUSINESS... 4 TOTAL LIFE BUSINESS...

ORDINARY LIFE BUSINESS... 1 CREDIT LIFE BUSINESS... 2 GROUP LIFE BUSINESS... 3 INDUSTRIAL LIFE BUSINESS... 4 TOTAL LIFE BUSINESS... YEAR 2014 ORDINARY LIFE BUSINESS... 1 CREDIT LIFE BUSINESS... 2 GROUP LIFE BUSINESS... 3 INDUSTRIAL LIFE BUSINESS... 4 TOTAL LIFE BUSINESS... 5 ORDINARY ANNUITIES BUSINESS... 6 GROUP ANNUITIES BUSINESS...

More information

INSURANCE AUTHORIZATION REQUIREMENTS

INSURANCE AUTHORIZATION REQUIREMENTS PHOENIX BARIATRIC CENTER, PLC 3805 E Bell Rd, Suite 5300 Phoenix, AZ 85032 Ph 602 422 9690 Fax 602 422 9680 Kurt W. Sprunger, MD, FACS INSURANCE AUTHORIZATION REQUIREMENTS ALL PATIENTS Age 18 or older

More information

2016 Practice Information Disclosure Sheet For Patients and Prospective Patients

2016 Practice Information Disclosure Sheet For Patients and Prospective Patients 2016 Practice Information Disclosure Sheet For Patients and Prospective Patients New York State requires medical practices to disclose to current and prospective patients information regarding health plan

More information

RE: Notice of Determination to Impose a Civil Money Penalty for Pharmaceutical Manufacturer Contract Number P1189

RE: Notice of Determination to Impose a Civil Money Penalty for Pharmaceutical Manufacturer Contract Number P1189 DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop C1-26-16 Baltimore, Maryland 21244-1850 Center of Medicare VIA: EMAIL ([email protected];

More information

EXPECTED SOURCE OF PAYMENT Section 97232

EXPECTED SOURCE OF PAYMENT Section 97232 EXPECTED SOURCE OF PAYMENT Section 97232 Effective with discharges on or after January 1, 1999, the patient s expected source of payment - the entity or organization which is expected to pay or did pay

More information

Insurance Registration INS100

Insurance Registration INS100 Insurance Registration INS100 Centricity Business 4.3 MSU HealthTeam Training and Education (M-F 8a 5p) Melody Frye 517-432-0898 [email protected] 1 Insurance Registration Overview Insurance registration

More information

2012-2013. Health Insurance Options for Retirees

2012-2013. Health Insurance Options for Retirees 2012-2013 Health Insurance Options for Retirees IMPORTANT PHONE NUMBERS FRS (FLORIDA RETIREMENT) ASSISTANCE Charlotte County Human Resources 18500 Murdock Circle, Bldg A, Room #130 Port Charlotte, FL

More information

Broward Insurance Companies from HealthCare.gov

Broward Insurance Companies from HealthCare.gov State County Issuer Name FL BROWARD Aetna FL BROWARD Aetna FL BROWARD Aetna FL BROWARD Aetna FL BROWARD Aetna FL BROWARD Aetna FL BROWARD Aetna Page 1 of 32 02/10/2016 Plan Marketing Name Aetna Basic 1-855-586-6960

More information

Revenue360 Eligibility Verification 270/271 Available Payer List

Revenue360 Eligibility Verification 270/271 Available Payer List Revenue360 Eligibility Verification 270/271 Available Payer List AARP (A United HealthCare Insurance Company) Absolute Total Care Administrative Services Inc. Advantage by Bridgeway Health Solutions Advantage

More information

WellPoint Cancer Care Quality Program Provider FAQs

WellPoint Cancer Care Quality Program Provider FAQs WellPoint Cancer Care Quality Program Provider FAQs WellPoint Cancer Care Quality Program What is the WellPoint Cancer Care Quality Program? Anthem Blue Cross and Blue Shield (Anthem) is pleased to bring

More information

2nd Global Summit Healthcare Fraud: Prevention is better than cure. 25-26 October 2012 Beaumont Estate, Old Windsor, UK

2nd Global Summit Healthcare Fraud: Prevention is better than cure. 25-26 October 2012 Beaumont Estate, Old Windsor, UK 2nd Global Summit Healthcare Fraud: Prevention is better than cure 25-26 October 2012 Beaumont Estate, Old Windsor, UK National Health Care Anti-Fraud Association - A Private-Public Partnership in the

More information

Part D. 2016 Medicare Prescription Drug Plans in Virginia

Part D. 2016 Medicare Prescription Drug Plans in Virginia Part D 2016 Medicare Prescription Drug Plans in Virginia Source - U.S. Department of Health and Human Services Center for Medicare & Medicaid Services CMS Publication No. 10050-33 - September 2015 Medicare

More information

HEALTH INSURANCE PLANS AND COSTS Q: What CTPF sponsored health insurance plans for Medicare-eligible members are available in

HEALTH INSURANCE PLANS AND COSTS Q: What CTPF sponsored health insurance plans for Medicare-eligible members are available in HEALTH INSURANCE PLANS AND COSTS Q: What CTPF sponsored health insurance plans for Medicare-eligible members are available in 2015 and how do costs compare? A: In 2015, CTPF offers the AARP Medicare Supplement

More information

Medicare Explained (For the rest of us!) A plain English version

Medicare Explained (For the rest of us!) A plain English version Produced by & Not affiliated with any Government Agency A Brief History of Medicare Medicare is a national social insurance program, administered by the U.S. federal government since 1965, that guarantees

More information

Insurance Terminology 102

Insurance Terminology 102 Access Management Insurance Terminology 102 University of Mississippi Medical Center Access Management Patient Access Specialists II As a Patient Access Specialist II You will possess ADVANCED KNOWLEDGE

More information