Sep 18, 2018 | Insurance News
09/18/2018SEHBP Plan Reforms esterday, following an agreement between Gov. Murphy and the New Jersey Education Association, the School Employee Health Benefits Program’s (SEHBP) Plan Design Committee passed several resolutions enacting reforms to reduce costs under...
Sep 5, 2018 | Insurance News
09/05/2018Updated Disclosure Form As previously reported, the Out-of-Network Consumer Protection, Transparency, Cost Containment and Accountability Act requires a disclosure form to be signed by patients beginning August 29, 2018. We have updated our interim...
Aug 10, 2018 | Insurance News
08/10/2018New OON Law Disclosure Form! As you are aware, on June 1, 2018, Governor Murphy signed into law the Out-of-Network Consumer Protection, Transparency, Cost Containment and Accountability Act. The main components of the bill were designed to protect...
Apr 26, 2018 | Insurance News
04/26/2018Appellate Division Ruling in SHBP Case The ANJC today received the Appellate Division’s decision in the State Health Benefit Plan $35 cap on out-of-network chiropractic reimbursement appeal. Unfortunately, the decision is not in our favor. The...
Mar 28, 2018 | Insurance News
03/28/2018Horizon 98943 Issue Update As previously reported, we have seen many denials of 98943 from Horizon with the denial reason code: U702: “This service is not paid. This denial occurred because the procedure code has a status indicator of N, I, P, M, R or C....
Mar 14, 2018 | Insurance News
03/14/2018Horizon 98943 & 97014 Denials We have recently heard from many members that CPT codes 98943 and 97014 are being denied on various (but not all) Horizon plans. We have seen these denials with two different reason codes. The more common is reason...
