Mar 20, 2019 | Insurance News
03/20/2019Diagnosis Code Denials We have been hearing from membership that claims are being rejected for invalid diagnosis codes. The doctors double check and the codes are in fact current, valid ICD-10 codes. In all cases I have seen so far, the issue has...
Nov 28, 2018 | Insurance News
11/28/20182019 Medicare Fee Schedule The 2019 Medicare Part B fee schedule and deductible have been released. Standard Premium: $135.50 a month (what the Medicare beneficiary pays/month) Deductible: $185.00 a year (up from $183 last year)...
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...
