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;...
Dec 19, 2023 | Insurance News
Be sure to review the newly released 2024 Medicare Fee Schedule!Details like the deductible ($240) and specific PAR and NON-PAR fees for various codes and localities have been updated. Whether in the 01 Region or the 99 Region, make sure you’re aware of the...
Nov 12, 2023 | Insurance News
Medicare’s recent updates on how they process claims have caused some confusion about how to submit a clean claim and respond to rejected claims. We thought using this entire edition of The Back Channel dedicated to your Medicare questions and concerns was in...
Nov 1, 2023 | Insurance News
Over the years, members have reported receiving a letter, fax, or phone call from Inovalon on behalf of Horizon. Inovalon is a company that has historically performed what are called Risk Adjustment Reviews for various carriers.Risk Adjustment Reviews essentially...
