Blue Shield makes positive changes to reimbursement policy for physicians treating out-of-network exchange PPO patients Effective with September 14, 2014 dates of services, Blue Shield will implement changes to the out-of-network claims payment process and will now reimburse providers directly when PPO exchange/mirror product patients are seen out of network. October 20, 2014 General Blue Shield, Blue Shield of California, Claims, Covered California, EPO, Exchange, IFP, Mirror products, out of network claims, PPO, Reimbursement 0 0 Comment Read More »
Covered California Provider Education News: Know Your Participation Status CMA has developed a toolkit to assist physicians with checking their participation status within Covered California. August 27, 2014 General, Member Materials CMA, Covered California, Covered California Provider Educator, Karli Nevarez, Physician Participation Status, Physician Toolkit 0 0 Comment Read More »
Physician Advocate Tip of the Month: Be aware of the off-exchange products that utilize Covered CA plan networks Every plan offered in Covered CA must also be offered outside of Covered CA, using the same network. If you see these product names on the ID card, it indicates the patient only has access to the Covered CA network. April 14, 2014 Physician Advocate Tip of the Month Covered California, Exchange, Physician Advocate, Physician Advocate Tip of the Month, Practice Management, Tip of the Month 0 0 Comment Read More »
CMA launches Covered California Provider Education Program The California Medical Association (CMA) and the CMA Foundation have been awarded a $1.5 million grant from Covered California, the state's new health benefit exchange. The grant application was submitted in partnership with the Latino Physicians of California, the American Academy of Pediatrics and a number of CMA's component medical societies. October 21, 2013 General CMA, California Health Benefits Exchange, California Medical Association, CMA Foundation, Covered California, Covered California Grant, Covered California Grant News, Physician Education 0 0 Comment Read More »
ALERT: You May have Automatically been Contracted into an Exchange Plan Open enrollment began October 1st for Covered California (California's Health Benefits Exchange). The OCMA has received many calls from members confused as to whether they are contracted to see these patients. October 15, 2013 Alert Benefits Exchange, California Health Benefits Exchange, Contracting, Covered California, Exchange, Mitzi Young, Open Enrollment, Physician Advocate 0 0 Comment Read More »
Notice: Due October 1: Employee Notices - Health Insurance Exchange Due October 1, 2013: Employee Notices - Health Insurance Exchange August 29, 2013 Alert ACA, Accountable Care Act, Alert, California Health Insurance Exchange, Covered California, employers, Fair Labor Standards Act, FLSA, health insurance exchange, MARSH, Notice 0 0 Comment Read More »
Health Reform Heats Up By James Noonan, CMA Staff Writer May 2, 2013 General ACA, Affordable Care Act, CMA, Covered California, Grace Period, Health Exchange, Health Reform, Medicaid, MediCal 0 0 Comment Read More »