Jun 17, 2026 | Insurance News, News for Members
Some ANJC members may have seen denials of some services for Aetna Medicare Advantage SHBP/SEHBP members from January through April 2026. Claim denials may have said “chiropractors are not authorized to provide certain services” or wording similar. Aetna has informed...
Jun 10, 2026 | Insurance News, News for Members
August 27, 2026 Update After numerous conversations with Horizon regarding the recent denials of Anthem and other out to state BCBS patients, we finally have some updates on this issue. The ANJC has been sending examples of these denials from our membership so Horizon...
May 8, 2026 | Insurance News, News for Members
Providers using third-party vendors to check Medicare beneficiary eligibility must now enroll these vendors with CMS by May 11, 2026. This is only for checking Medicare eligibility through your clearinghouse! If you opt not to attest, you may still verify eligibility...
Apr 2, 2026 | Insurance News, News for Members
Dear ANJC Members, We want to make you aware that we have received information that Aetna has begun issuing retroactive reprocessing and overpayment notifications for acupuncture services provided to SEHBP/SHBP retirees enrolled in the Aetna Medicare Advantage Plan....
Mar 17, 2026 | Insurance News, News for Members
The Office of Management and Budget (OMB) has approved the control number for the Advance Beneficiary Notice of Non-coverage (ABN) (CMS-R-131). The updated ABN is effective now and expires March 31, 2029. Providers may continue to use the expired version of the ABN...
Feb 9, 2026 | Insurance News, News for Members
The current Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131, expired on January 31, 2026. While a new form is under development, providers should continue using the current version (with the 01/31/2026 expiration date) until official CMS updates are...
