Apr 8, 2024 | Insurance News
Over the past few months, Aetna Medicare Advantage state retiree plan (SEHBP) representatives have worked closely with the ANJC to resolve members’ issues with erroneous denials for the 98943 CPT code and orthotics. The ANJC truly appreciates the...
Mar 25, 2024 | Insurance News
The 2024 Medicare Fee Schedule has been updated to reflect the latest CMS revisions. Below, you’ll find the adjusted deductible, PAR and NON-PAR fees, and limiting charges for various locality codes. Ensure your practice has the most current information for billing...
Mar 18, 2024 | Insurance News
Dear ANJC Members, As membership is aware, the ANJC has been in active communication with Aetna regarding denials of services covered under the NJ Retiree Medicare Advantage plans going back to 2022. In an effort of good faith, Aetna has kept the ANJC up to date...
Feb 20, 2024 | Insurance News, PAC & Legislative Updates
Insurance carriers have routinely attempted to limit the chiropractic scope of practice through denial of claims clearly within the chiropractic scope of practice. A recent example occurred in a No-Fault arbitration filed on behalf of a chiropractor by longtime...
Feb 7, 2024 | Insurance News
Dear ANJC Membership,As you know from previous ANJC emails, Availity Essentials will be the new provider portal for Horizon Blue Cross Blue Shield of New Jersey, Braven Health℠ and Horizon NJ Health.While NaviNet access is still available, please take the time now to...
Jan 19, 2024 | Insurance News
Dear ANJC Membership, Some of you have been asking for clarification on a recent requirement by most carriers related to taxonomy codes. The ZZ qualifier identifies the provider taxonomy code in the carriers’ software. This has been required for over a year;...
