Inovalon-Horizon Letters

Many members have reported receiving a letter, phone call or both from Inovalon on behalf of Horizon. Inovalon is a company that has performed what are called Risk Adjustment Reviews for various carriers over the years. There are several companies that have done these...

2020 Medicare Fee Schedule

The 2020 Medicare Part B fee schedule and deductible have been released.   Standard Premium: $144.60 a month  (what the Medicare beneficiary pays/month) Deductible: $198.00 a year (up from $185 last year) Coinsurance: 20 percent   Area           Code          ...

New PIP & Workers Comp Electronic Billing Laws

New Jersey has passed state laws mandating that bills for Personal Injury Protection (PIP) claims and Workers’ Compensation claims must be billed electronically. A provider may be exempt from this requirement if they bill less than 25 of these types of claims...