SUDDEN HORIZON DENIALS RESOLVED—Update

SUDDEN HORIZON DENIALS RESOLVED—Update

November 6, 2025 Update The ANJC has begun hearing from several members that some of their previously denied claims are now being reprocessed and paid correctly. Reports indicate that only a portion of denied claims are currently being reprocessed—for example, a few...
Insurance Carrier Updates: September 2025

Insurance Carrier Updates: September 2025

Important Notice Provider Directory Management—Ensure Your Directory Listings Are Accurate Under the No Surprises Act (NSA), health plans must maintain an accurate database provider website and verify the accuracy of the information at least every 90 days. The health...
Insurance Carrier Updates: September 2025

Insurance Carrier Updates: August 2025

Medicare CMS Phishing Scheme The Centers for Medicare & Medicaid Services (CMS) have become aware of a scheme to obtain patient records through fax requests. The faxes sent to providers demanding all patient information and medical records for Medicare patients....