Healthcare Market Overview ___________________________________________________________________

Table of Contents

1 Healthcare Market Overview......................................................................5 1.1 Introduction............................................................................................5 1.2 What is an HMO?.....................................................................................5 1.3 The Industry Outlook................................................................................5 1.3.1 Trends in Healthcare – Provider Space....................................................6 1.3.2 Trends in Healthcare – Payer Space........................................................7 1.4 Key Players.............................................................................................7 1.5 References..............................................................................................8 2 Healthcare Overview..................................................................................9 2.1 Unit Objectives .......................................................................................9 2.2 Genesis Of Healthcare .............................................................................9 2.3 How the industry Works?........................................................................10 2.4 Healthcare pillars...................................................................................12 2.4.1 Members...........................................................................................12 2.4.2 Providers...........................................................................................12 2.4.3 Benefits.............................................................................................13 2.4.4 Claims..............................................................................................14 2.4.5 Sales................................................................................................15 2.4.6 External Agents..................................................................................15 2.5 Healthcare workflow...............................................................................16 2.6 Summary..............................................................................................17 2.7 Review Questions...................................................................................18 2.8 References............................................................................................18 3 Members..................................................................................................21 3.1 Unit Objective........................................................................................21 3.2 Introduction..........................................................................................21 3.2.1 Insurance Business: An Overview.........................................................21 3.3 Individual and Group Insurance in detail...................................................23 3.3.1 Individual Insurance...........................................................................23 3.3.2 How to get individual insurance? .........................................................23 3.3.3 Group Insurance................................................................................25 3.3.4 Company Paid Groups.........................................................................26 3.3.5 Affinity Groups...................................................................................27 3.3.6 Self Insured Group.............................................................................27 3.3.7 Self-Employed Members......................................................................28 3.3.8 Exercise............................................................................................29 3.4 Member’s enrollment..............................................................................30 3.4.1 What is Enrollment?............................................................................30 3.4.2 How is enrollment carried out?.............................................................30 3.4.3 Output of enrollment process...............................................................31 3.4.4 Enrollment: Overall Picture..................................................................32 3.4.5 Exercise............................................................................................32 3.5 Member’s and Dependent’s eligibility........................................................33 3.5.1 Eligibility...........................................................................................33 3.5.2 Eligibility Process................................................................................33 3.5.3 How a member should approach right provider?.....................................34 3.5.4 Eligibility Data Transfer.......................................................................35 3.5.5 Eligible Dependents............................................................................35 3.5.6 Exercise............................................................................................35 3.6 Member Services....................................................................................37 3.6.1 Means of services...............................................................................37 __________________________________________________________________________________ 65736839.doc Ver. 1.0 Page 1 of 132

Healthcare Market Overview ___________________________________________________________________ 3.6.2 Services provided by the insurer..........................................................37 3.7 Premium Collection.................................................................................39 3.8 Member Group Maintenance....................................................................39 3.8.1 What are Groups?...............................................................................39 3.8.2 Groups Formation...............................................................................40 3.8.3 Groups Maintenance...........................................................................40 3.9 Disability Benefits...................................................................................41 3.9.1 Member’s concern .............................................................................41 3.9.2 Exercise ...........................................................................................41 4 Provider...................................................................................................44 4.1 Provider types.......................................................................................44 4.2 Provider Participation..............................................................................45 4.3 Provider Contract...................................................................................45 4.3.1 Provider Contract Process...................................................................45 4.3.2 Credentialing Criteria.........................................................................45 4.3.3 Verification of Provider Credentialing Information..................................46 4.3.4 Types of Contracts.............................................................................46 4.3.5 Provider Reimbursement....................................................................46 4.4 Exercise................................................................................................47 4.5 Provider Referral....................................................................................47 4.5.1 Referrals processing...........................................................................47 4.5.2 Referral types...................................................................................48 4.6 Provider Network...................................................................................48 4.6.1 Quality Provider Networks..................................................................48 4.6.2 Network Adequacy.............................................................................49 4.6.3 Rental networks................................................................................49 4.6.4 Network Hospital Standards................................................................49 4.7 Provider maintenance.............................................................................49 4.7.1 some common information of Providers ...............................................49 4.8 Exercise................................................................................................50 4.9 Review Questions...................................................................................51 4.10 References..........................................................................................51 5 Sales........................................................................................................53 5.1 Unit Objectives......................................................................................53 5.2 Introduction..........................................................................................53 5.3 Brokers.................................................................................................53 5.3.1 Calculation for Brokers........................................................................53 5.4 Quote Creation......................................................................................54 5.4.1 What is a quote?................................................................................54 5.4.2 The Process Of Quote Creation.............................................................54 5.5 Actuaries...............................................................................................58 5.6 Underwriters..........................................................................................59 5.7 Insurance Payer’s Sales Department.........................................................60 5.7.1 External Agents that deal with Sales Department of Insurance Payers.......61 5.8 Review Questions...................................................................................62 6 Benefits....................................................................................................64 6.1 Unit Objectives .....................................................................................64 6.2 Introduction ........................................................................................64 6.3 Indemnity Plans.....................................................................................64 6.4 Managed Care Plans...............................................................................65 6.4.1 Health Maintenance Organization (HMO)...............................................66 6.4.2 Preferred Provider Organization (PPO) ..................................................68 6.4.3 Point Of Service (POS).......................................................................69 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Healthcare Market Overview ___________________________________________________________________ 6.4.4 Exclusive Provider Organization (EPO)...................................................71 6.5 Which plan is the best?...........................................................................71 6.5.1 Exercise............................................................................................72 6.6 Other Plans...........................................................................................73 6.6.1 Vision Plans.......................................................................................73 6.6.2 Dental Plans......................................................................................73 6.6.3 Pharmacy Plans..................................................................................74 6.6.4 Medicare Plans...................................................................................75 6.6.5 Medigap............................................................................................75 6.6.6 Medicaid............................................................................................76 6.6.7 Long Term Care.................................................................................76 6.6.8 Disability Income Insurance.................................................................76 6.6.9 Catastrophic Coverage Plans................................................................76 6.6.10 Exercise........................................................................................77 6.7 Individual Insurance and Group Insurance.................................................77 6.8 Laws and Legislations.............................................................................78 6.8.1 Consolidated Omnibus Budget Reconciliation Act of 1986 (COBRA)...........78 6.8.2 Health Insurance Portability and Accountability Act (HIPAA).....................78 6.9 Review Questions...................................................................................79 6.10 References..........................................................................................79 7 Claims......................................................................................................81 7.1 Claim generation and submission to Providers...........................................81 7.1.1 Claims Intake Process.........................................................................81 7.1.2 Claims Intake : Diagrammatic..............................................................82 7.2 Claim Adjudication Process......................................................................83 7.2.1 Claim Preparation and determining eligibility..........................................83 7.2.2 Determine payment ...........................................................................86 7.2.3 Update Claim.....................................................................................88 7.2.4 Claim adjudication outputs..................................................................88 7.3 Claim Payments.....................................................................................91 7.3.1 Provider Payments..............................................................................91 7.3.2 Member Re-imbursement....................................................................92 7.4 Claim Adjustments.................................................................................92 7.4.1 Refund Adjustment ............................................................................93 7.4.2 Minus Debit Adjustment .....................................................................93 7.4.3 Manual Check Adjustment ..................................................................93 7.4.4 Void Adjustment.................................................................................93 7.4.5 Stop Adjustment................................................................................93 7.5 Government reporting............................................................................94 7.6 Explanation of Benefits (EOB)..................................................................95 7.7 Accumulators.........................................................................................95 7.7.1 7.7.1 What are Accumulators?.............................................................95 7.7.2 7.7.2 Function/Purpose of Accumulators................................................96 7.7.3 What is accumulated?.........................................................................96 7.7.4 Types of Accumulator..........................................................................96 7.8 Overall Claims system diagram :..............................................................97 7.9 Review Questions...................................................................................97 7.10 References..........................................................................................98 8 External Agents......................................................................................100 8.1 Unit Objectives ....................................................................................100 8.2 Introduction .......................................................................................100 8.3 Government Agencies...........................................................................100 8.3.1 Centers for Medicare & Medicaid Services (CMS)...................................100 __________________________________________________________________________________ 65736839.doc Ver. 1.0 Page 3 of 132

...4 Exercise.............120 8......4............124 9.....5................................................103 ELECTRONIC HEALTH TRANSACTIONS STANDARDS .......103 8......4 Agency for Health Care Research and Quality (AHRQ) .............................................103 8......127 10...................................................5..................................................................................5............................................................................................116 8..................4 Member has filed a claim.1 The Beginning: Member wants to purchase insurance...1 Appendix A: Total E-Business Services Forecast for Healthcare.................................................................................101 8...113 8.......................................10 Drug Manufacturers....................................................102 8............................................................121 9 Summary.....................................124 9.............................................................11 Review Questions..2 Workflow ..................2......................................3 Clearinghouse Income...................................3....................Healthcare Market Overview ___________________________________________________________________ 8...2..114 8............................2 Clearinghouse versus Direct Filing....124 9.........................................113 8....2 Getting a provider.............................................doc Ver....................2 CORBA.117 8....................................................103 8..3 Centers for Disease Control and Prevention (CDC)..4 Government Acts and Regulations.......................................................6 Health Resources and Services Administration (HRSA)...................1 Unit Objectives ....127 10....................................1 Benefits Of A Clearinghouse............3..................................................................................................................9.................................................................2 Appendix B: The world Healthcare market and Healthcare IT spending....................................2...........127 10.................................4......123 9................................................125 9............115 8..................... 1...........................115 8...............................103 8.....................6 Third Party Administrators..................117 8....................................3 Appendix C: The Cash Flux of the US Healthcare Industry.....3 Review Questions..............125 10 Appendices..............5 Clearing Houses.....................................................................128 (Source: Gartner Research.........3.8 General Agents....................................................5....................................3..5 National Information Center on Health Services Research and Health Care Technology (NICHSR).................................7 Exercise..................................................1 The Accreditation Process............2........3 Exercise.........123 9............................................... Inc).........................4 Appendix C: Sample Quote Sheet.............................121 8..................................................................................................................................123 9....................9 Accreditation Agencies.................102 8.......3............................................115 8.......5 Effect of external agencies......................12 References.....128 10.............3 An Enrolled member wants to seek medical services..............................................2.....105 8...117 8....113 8........................................7 Specialized Adjudication Engines/Companies.........................4 References............................................0 Page 4 of 132 .2 DEPARTMENT OF HEALTH AND HUMAN SERVICES (DHSS)...............3................106 8......................................................4...........125 9..............129 11 Glossary.......................................125 9.....131 __________________________________________________________________________________ 65736839.....1 HIPAA..........................................

he ends up paying a small fixed payment. The member should always visit the chosen PCP and on his referral can visit other doctors. The concept has gained acceptance in the 90s and the Industry has grown rapidly and it caters to over 25% of all Insured members in USA. Traditionally insurance has been one of the largest users of Information Technology.I 1 Healthcare Market Overview 1. since these companies are service oriented. The “For-profit” companies control 60% of the Managed Health Care __________________________________________________________________________________ 65736839. In these plans. HMOs typically interact with two types of customers: Employer Groups – These are companies that provide health coverage for their employees and dependents. It aims in providing the brief idea of the Industry and it’s the key players. After that. the member is free to visit any Provider. The basic idea behind this is that the HMO ties up with a group of Doctors and Hospitals (Providers of Health Care) and allows the members enrolled to visit one of the Providers within their list. a certain percentage will be paid by the Member and the rest by the Insurance Company (co-insurance). In case of Indemnity Plans. On the other hand. When a member follows this rule. 1. and Individuals who look for coverage for themselves and their dependents. All visits to any Doctor or Hospital have to be authorized by the HMO. which means the first few hundred or so dollars is fully paid by the Member. The Industry is made up of both “For-profit” HMOs and “Non-Profit” HMOs. Though the primary information system is the OLTP system that runs the daily business. Their primary function is to provide Health Insurance to Employer Groups and Individuals. for the next few thousand dollars.1 Introduction This unit provides a brief idea of the Health Care Industry in the United States.2 What is an HMO? HMO stands for “Health Maintenance Organization”.Healthcare Market Overview ___________________________________________________________________ UNIT . violating this rule will make the member liable for the full amount. a high computing power becomes imminent. 1. Members enrolled in an HMO are expected to choose one of the Providers as a PCP (Primary Care Physician). Historically.0 Page 5 of 132 . To process this high volume of data collected and maintain them for stipulated time. The industry has grown quickly and at present about 25% of all health insurance members are in some sort of Managed Health Care program. The concept has gained in popularity mainly from employers who provide health insurance to their employees in the 1990s.doc Ver. Any amount over the Deductible and the Co-insurance will be fully paid by the Insurance Company.3 The Industry Outlook The concept of Managed Health Care gained popularity in the last 80s and the early 90s. This Industry is highly regulated and captures high volume of data. response times become a crucial factor both to reduce cost and improve performance 1. Health Insurance in the United States was through Indemnity Plans. Also state mandated programs like Medicare and Medicaid also allow the recipients to be enrolled in HMOs. there is a Deductible. Also. the Imaging system that scans all incoming documents for storage and retrieval. Managed Health Care is provided by HMOs (Health Maintenance Organizations). The HMO concept has evolved over the last 15 years as a way to provide less expensive health coverage. there are also support systems like the Data Warehousing System that helps in decision support.

3 Trillion. privacy and security.S. 1. The US is the largest player in the Healthcare market and is worth $ 1. which are going to have a major impact in the way healthcare providers operate presently. which are coming into place. 70% of the Federal budget of the US. Provider Organizations are adopting some Cost Cutting measures. there has been a tremendous pressure on the bottom line of these companies. At present. (Refer Appendix B). See Appendix A). (Refer Appendix C). The total health care spending (by private and public in the US) is 1. Industry sources project expenditures for senior living of $18 billion in 2000. will continue to grow as newer technologies and sciences (Genomics. But the Healthcare market. However. skilled nursing providers were slated to receive $83 billion during 9802. The past few years has seen a consolidation in the hospital and health sectors. Furthermore. reaching $30 billion by 2005. However. which is a core focus for most governments around the world. investment in IT in global Healthcare sector is as low as 3% as compared to an overall average of 6% and 12% for financial services.  HIPAA (Health Insurance Portability and Accountability Act) This act impacts all segments of healthcare industry with focus on standardization. Initially small players focused on local markets dominated the Industry. due to increasing health care costs. Individuals aged 85 and older (3. they will now receive $74 billion over the same period. The last major merger happened in Feb 1.when CHRISTUS Health was formed. Furthermore.Healthcare Market Overview ___________________________________________________________________ Industry. and is estimated to grow to a huge USD 4 Trillion by the end of 2003 (Dataquest. Cap on spending by government (BBA) is focusing efforts on cost cutting in this space. Large corporations want see employee health insurance costs to reduce overheads. The last few years have seen smaller provider sub segments face financial challenges. These two regulations are:  BBA (Balanced Budget Act) The Balanced Budget Act of 1997 (BBA-1997) is designed to lower Medicare expenditures by about $112 billion over the five-year period 98-02. Proteomics and Bio technology) revolutionize health care.1 Trends in Healthcare – Provider Space There are two major regulations. Also. As a reciprocative step. 1999 . it is estimated that about 13% of the overall industry bed capacity are operating in bankruptcy.3. population.310 Billion annually (2001) and is growing at 7%. In the last few years there has been an increasing number of acquisitions and the industry is moving into the consolidation phase. struggling independent facilities in rural markets. a decrease of about 11%. This has resulted in more government involvement in this industry and there has been lots of debate on how to make this industry more transparent and patient friendly.a whopping number by any standards. __________________________________________________________________________________ 65736839.but low activity expected. This trend has slowed considerably and can be considered to be over for now. The last few years have seen a rise in the Assisted Living Centers. accounting for 43% of the world spending. the members participating in these plans feel that the HMOs squeeze the patients to maximize their profit.0 Page 6 of 132 . The trend is still continuing and the growth is expected to continue. also the fastest-growing segment of the U. however as a result of the BBA. 1.doc Ver. US is the largest spender in this market. The world market for Healthcare is USD 3 Trillion presently. will seek acquisition by larger chains. Before BBA. US also leads in the IT development of this market. In the last few years.6 million) represents the largest number of users of long-term healthcare services. The US Congress is currently debating on a “Patients bill of rights” that will allow the patient to get better care under this system.

Large HMOs are notifying the HCFA of their intent to exit Medicare + Choice market in 2001.com __________________________________________________________________________________ 65736839. with the top 10 HMO chains accounting for close to 2/3 of total HMO enrollment in the US. People older than 65 years (currently 14%) are estimated to rise to 18. HMOs cut 400.unitedhealthgroup. Aetna. Cigna. Provides both Indemnity and HMO based Health insurance plans 21 million subscribed members in various health plans.2 Trends in Healthcare – Payer Space There has been a rise in Regulations & Lawsuits against payers. MN www.cigna.Healthcare Market Overview ___________________________________________________________________ labor costs (typically 40 -50 % of hospital operating costs) are steadily rising (specialized skills shortage). Plans available across the country United Health Care Minneapolis. 10. 1. Recent times have seen HMOs exiting Medicare Choice plans. Ongoing pressure to reduce healthcare costs will prolong the merger trend in coming years. Hartford. Furthermore Managed Care Consolidation has seen larger companies acquiring smaller. among others. Prescription drug coverage has increased (95% of all members). The last few years have seen Rising Costs for the MCO (Managed Care Organization). including Aetna (affecting 355. CT www. Provides both Indemnity and HMO based Health insurance plans 6. And this has resulted in higher costs. Individuals. Pharmaceutical costs are rising about 15 %. on average.000 members).0 Page 7 of 132 . resulting in more people covered.com Into Health Care. CT www. Property and Casualty. undercapitalized players.g. the number continues to climb.doc Ver.3 members of Prudential Health Care recently acquired. which requires them to re-look at their transactions. These companies cater to small and large Employer Groups.000 in 2000.com Leading provider of health and retirement benefit plans.5% in 2025.aetna. The largest privately held chain is the Blue Cross/Blue Shield Association.6 million Americans. which collectively serves 21. Aging Population Poses New Challenge for the Healthcare organizations.3 million of those are Managed Health Care Members includes 5.3. Group Insurance etc. Managed Care Market Still Top-Heavy in the sense the managed care sector is fairly concentrated.5% in 1999.000 members in 1999 and another 327. 1. Aging of the baby boom generation (born between 1946-1964). Medical costs rose 7. Retirement and Investment Services.5 Million members enrolled in Medical HMO Plans. 1. More than 35 class-action suits have been filed against managed care companies to date. the rapid expansion of the elderly segment of the population is presenting HMOs with a new set of challenges. Hartford. and also provide coverage for members participating in government programs like Medicare and Medicare. E.4 Key Players At present the Managed Health Care Industry is made of a few large Insurance companies that operate across the country and lots of small HMOs that operate in local markets. Numerous companies have exited Medicare Choice markets following implementation of the BBA in 1997. HIPAA is going to have sweeping effect on HMO.

5 References AETNA Intranet http://www.gartner. 1.8 million Fully Insured Managed Care Members. About 5. no risk).gigaweb.com/ http://www.com/ http://www.000 Medicare members and 530. operates in many markets.com/ __________________________________________________________________________________ 65736839. 1.com/ http://www. 445.doc Ver.Healthcare Market Overview ___________________________________________________________________ Primarily into Managed Health Care. 1.gartnerg2.000 Medicaid Members In addition to the above companies there are two large Non-profit Managed Care entities: Blue Cross Blue Shield Kaiser Permanente These operate in various states by having separate HMOs set up in each state.8 million self-insured members (fee basis.0 Page 8 of 132 .aetna.jup.com/ http://www.

“Provider-oriented” meant that. When the war ended. In the late 1960s and early 1970s. Thus early insurance was restricted to Indemnity insurance. the Kaiser Permanente health plan had a growing network of hospitals and clinics and a half million people enrolled. However. physicians in private practice almost always billed patients directly on a fee-for-service basis. were all on the agenda.0 Page 9 of 132 . 1.1 Unit Objectives This unit will present an overview of the healthcare industry to the reader. Shadid rendered care to his patients. Ten years after the war. Dr.2 Genesis Of Healthcare Until the early 20th Century. Kaiser opened his plans to the public. consumer rights. and it paid the affiliated independent physicians and hospitals according to a relative value-based fee schedule. coverage for the uninsured. In 1971. Kaiser believed he could reorganize medical care to provide millions of Americans with prepaid and comprehensive services at prices they could afford. The HMO Act of 1973 authorized $375 million in federal funds to help develop HMOs. Other local physicians became concerned about their own patient base. efficient delivery systems and more. During World War II. Over the initial objections of physicians. Physicians were free to practice as they saw fit. access to services for the poor and minorities.Healthcare Overview ___________________________________________________________________ UNIT . Michael Shadid started a rural farmers' cooperative health plan in Elk City. developed peer review procedures. the San Joaquin County (California) Medical Society formed the San Joaquin Medical Foundation in response to competition from Kaiser. __________________________________________________________________________________ 65736839. These members paid a predetermined fee and Dr. Henry Kaiser whose name became synonymous with prepaid healthcare set up two medical programs on the West Coast to provide comprehensive health services to workers in his shipyards and steel mills. The foundation accepted capitation (fixed) payments from subscribers. who argued that the structural incentives of traditional fee-for-service medicine had to be reversed in order to achieve positive reform. Blue Shield) did not try to tell physicians how to practice medicine. In the 1930s. during the Great Depression. In some locations prepaid group practice plans were quite successful at attracting members. financially stressed hospitals prevailed on state legislatures to legalize the insurance schemes that became known as Blue Cross which were created as non-profit. In 1954. In 1929 Dr. Blue Cross (and later. In adopting this policy. Paul Ellwood of Minneapolis.doc Ver. The foundation heard grievances against physicians. the Administration was influenced by Dr. provider-oriented insurance organizations. Ellwood coined the phrase “health maintenance organization” to refer to prepaid health plans that enrolled members and arranged for their care from a designated provider network. Oklahoma 1929. Issues of cost containment. politicians and interest groups promoted various proposals for reforming the healthcare system. prepaid health care remained a minor phenomenon until the 1970s. the development of health maintenance organizations (HMOs). and the Blues would simply pay the bills on a fee-for-service basis. 2. President Nixon’s Administration announced a new national health strategy. and monitored quality of care. hospitals began to suffer from patients’ inability to pay their bills. This plan is considered the earliest example of an independent practice association (IPA) model prepaid health plan.II 2 Healthcare Overview 2.

A). there were over 600 HMOs in operation. what can be said to be the ‘five pillars of healthcare’ are –      Member Provider Benefits Claims Sales In addition ‘External agents’ (agencies not directly involved with providing insurance) also form a major component. We will see each of these in greater details in the next section. After the five pillars have been introduced. 1. (HMO is a subset of managed care) continued to grow throughout the 1970s.0 Page 10 of 132 . thereby dominating the healthcare market. as it came to be called. State governments turned to managed care to help with the Medicaid program. 1980s and 1990s. Employers came to look upon managed care as a less expensive yet comprehensive and high quality form of insurance to offer to their employees.doc Ver. enrolling about 65 million members (close to a quarter of the population of U. however. Overall. The major players in this flow. we will be better equipped to understand the workflow as depicted in the following figure. and the federal government implemented Medicare. The workflow for this model can be depicted as shown in the following figure. the nature of this information being very generic. the figure can be said to portray the actual workflow for any managed care organization. This workflow is specific to Aetna-USHC (a leading provider of healthcare services).Healthcare Overview ___________________________________________________________________ Managed care. the managed care segment had 181 million members. or.S. By the end of 20th century. 2. __________________________________________________________________________________ 65736839.3 How the industry Works? Managed care market dominates the healthcare industry.

1.doc Ver.0 Page 11 of 132 .Healthcare Overview ___________________________________________________________________ Request Quotes Aetna Sales Quotes Customer Policy maint and billing Under writing Provider Admin Policy Entry Claim/Elig Inq Member Help Desk Provider Claim Policy Providers Claim Medical Service Claim Office Benefit/ Provider Inquiry Claim Routing/ Adjudication EOB Claim Reporting ERA EFT Members To Provider Bank Actuaries Figure 1: Managed care workflow __________________________________________________________________________________ 65736839.

In case of some large corporations like AT&T or IBM the company itself provides insurance to its employees. A doctor. So. They offer a great flexibility to the company in providing insurance of choice to the employees. Reduction in this cost to the member is a great advantage with group insurance. However. A variant of this is the Company Paid Groups. A Provider is that entity which offers actual medical services to the members. he has to pay for those services. For insurance company. These monetary benefits are offered in various forms. This way. This is known as Individual Insurance. Both individual and group insurance. __________________________________________________________________________________ 65736839. the members have to pay for healthcare coverage). they outsource the administrative part to the insurance companies while retaining the money reimbursement part with themselves. A member is a person who purchases insurance from (or enrolls with) an insurance company.S. they are able to achieve a balance between providing desirable healthcare coverage to their employees without causing administrative overheads. This is a powerful perk used to retain good staff.4 2. a pharmacy or hospitals are all referred to as providers.A.2 Providers. Group insurance allows the insurer to spread the risk over a larger number of people.1 Healthcare pillars. Due to its bargaining power.0 Page 12 of 132 . Members. 1. or less. it also restricts his earnings. his employer will pay for his insurance coverage.4. Individual insurance is restricted to people who need to have specific coverage not offered in their group scheme. from the provider’s point of view it’s a choice between a fixed income and a varying income (which may be more. or to those who do not have a employee sponsored group insurance scheme. but the trend is towards group insurance due to its basic advantage of reduced cost and enhanced services. The providers get this fee irrespective of the number of encounters (a visit by a member to a provider is known as an encounter) they had in that month. In most cases. these companies do not have the infrastructure to perform as an insurance company. Under this agreement they provide medical care at reduced rates to the members. A group has much more bargaining power due to the simple fact that group insurance is less risky for the insurer. He is free to choose any of the services offered by the insurance company.4.doc Ver. So. He can purchase this insurance coverage for himself and his family (also called his dependents). while in case of individual insurance the risk is concentrated on a single member and his dependents. In such a case the employer becomes his plan sponsor and the insurance is known as Group Insurance. There are other variants of insurance in the market. depending on his popularity with the patients). Though self-insured schemes are quite popular. Such groups are known as self-insured groups. The providers enter into an agreement (contract) with the insurance company. capitation helps them to forecast their spending. they are feasible only in case of very large organizations. The main advantage with group insurance is the freedom of choice for a member. as the total expenditure remains constant irrespective of the number of members having to seek medical services. 2. group insurance schemes are able to get better deals for their members than in case of individual insurance. While on one hand capitation ensures a fixed monthly income for the provider. in which the employers pay for the healthcare subscription (in case of normal group insurance. in return they are offered monetary benefits by the insurance company. However.Healthcare Overview ___________________________________________________________________ 2. One of the most popular of these forms is a fixed monthly fee (capitation fee). have their advantages and disadvantages. and is a very good illustration of the amount of importance that is attached to health insurance in U.

In case of certain large hospitals with a significant patient base. whom sets forth the terms and conditions of this agreement is called a Policy. The right of a member to receive services from the insurance company as per their mutual agreement. the insurance company pays a part (usually 80%) of the expenses. Such a group is called an IPA or an individual practice association. In case of Indemnity plans. Then depending on the choice of coverage the member is said to have medical benefits or dental benefits or vision benefits. This constitutes the Staff Model of managed care. the hospital itself may function as the insurer. the insurance company is able to offer healthcare at reduced rates. In case of managed care. they are very expensive. or. Staff model is beneficial from the insurance companies point of view. they may outsource the administrative functions to an insurance company while keeping the money reimbursement part with themselves. Formation of an IPA gives the providers more bargaining powers with the insurance company and assures them of an increased patient volume. the insurance company contracts with providers and form a network of such providers. individual providers form a group. The members pay a fixed monthly fee and need to choose a provider within the network as their primary care physician or a PCP. we can say that a plan is the general range of benefits offered by the insurance company. the IPA. In general. As with self-insured groups. The insurance company may provide medical/dental/vision coverage. If the claim is found to be valid. Benefits can be described in two ways 1.e. Though they offer great flexibility to members in their choice of providers. In some cases. __________________________________________________________________________________ 65736839.4. The general agreement between the Insurance Company and the member that details the benefits that can be provided to the plan holders While the actual legal document issued by the insurance i. as they are in a better position to regulate the expenses. i. The major line of coverage provided by the insurance company. The providers themselves have an increased patient volume and hence offer services at reduced rates. company to the member. which contracts with the insurance company. 2. the member is called a Plan. the members visit a provider and pay him for his services.e. right from providing services to filing claims. Thus.3 Benefits. After that. This is one of the most stable models of managed healthcare. In turn the insurance company is able to offer a range of providers to the members at a single source. This staff model however is feasible only in case of very large insurance companies. a group of providers in a designated area are contracted by the insurance company to form a network (a group of contracted providers within a designated area is said to constitute a network) of providers.doc Ver. Due to the control over the choice of provider. 2. 1. These when customized as per the member’s requirements and put down on paper as a legal document forms a policy. The reduced cost of a managed care plan is the main reason for members preferring them to indemnity plans. The insurance company offers a better deal to its members for using a provider within this network.The PCP manages their complete healthcare. they file a claim (a request to refund the expenses incurred) with the insurance company. There has been a gradual shift in the choice of members from Indemnity (traditional fee-forservice) plans towards Managed Care (prepaid) plans. the insurance company may directly employ providers.0 Page 13 of 132 .Healthcare Overview ___________________________________________________________________ Sometimes.

The member is also sent a letter called the explanation of benefits (EOB). In such cases the claim is first processed by the primary payer (there are standard rules to determine which insurer is the primary payer) and then sent to the secondary payer. As explained earlier. Members who wish to have a greater flexibility in the choice of providers have the option of going for other managed care plans POS or point of service plans and PPO or preferred provider organization plans. In addition the claim turn around (time from a claim being filed to the final check being issued) is a major issue for members and providers while choosing an insurer. validated for necessary information and then loaded into a database. The recent trend has been to go for PPO plans. It has a major disadvantage that it limits the choice of providers to a network. Apart from speeding up the process. also know as Claim Examiners.0 Page 14 of 132 .doc Ver. EOB gives the details of the services rendered to him by the providers and the amount of expenses to be borne by the member for the services he has used. Members cannot avail services from a provider not contracted with the insurance company.4 Claims.The claim is received by the insurance company. Sometimes. 2. This is known as coordination of benefits (COB). members may be enrolled with multiple carriers (insurance companies). Claims adjudication is a very complex process and requires information of almost all the entities associated with health care such as members. nowadays there is a major emphasis on automated claims adjudication. policy etc. while having the option of Indemnity type coverage at a higher fee. referrals. member receives a check for payment of the expenses. it also reduces the necessity for claim examiners. __________________________________________________________________________________ 65736839. benefits. POS provides the member with the option of having HMO type coverage at a lower fee. Claim is either filed on paper or sent electronically . On completion of claims adjudication. a hybrid of HMO and POS plans. also claims with any missing information are resolved manually by Adjudication experts. a Claim is a request filed by the member (or his PCP) for the refund of medical expense incurred by him. is a recent addition to the stable of managed care plans. It also gives the amounts applicable to him. Complex or ambiguous claims. The claim is then adjudicated (or tested for authenticity) as per the company’s business rules and policies. providers.4. Hence.Healthcare Overview ___________________________________________________________________ The model of managed care as described above is known as a HMO or a health maintenance organization. amongst other things -     Whether the member has satisfied his deductible (a deductible is a fixed dollar amount the member has to pay each year before be can claim benefits) Whether he has satisfied his copay (a fixed dollar amount the member pays every time he visits a provider) Whether he has satisfied his coinsurance (a percentage of the total cost which the member has to pay) Whether he had the necessary referral (or permission from the PCP) to visit the specialist.EPO or exclusive provider organization. thereby making the process more cost effective. The checks can include. as it offers the best of both Indemnity and Managed care plans. PPO is also similar to POS with the added advantage that in the HMO type coverage the member is not needed to have a PCP. 1.

S. It requires some help from some external sources or agencies. In return for their services the brokers are paid a commission (broker commission) User groups called actuaries and underwriters play key roles in deciding the policy rates and thus in selling the products even though they do not interact directly with customers. These organizations are known as specialized adjudication companies (Magellan and ADESSO are two such organizations). Since claim adjudication is a complex process. it is not possible for an insurance company to have a rule engine for adjudication of every type of claim. If errors are detected. Based on these rates the marketing department creates a Quote (or a draft outlining the services to be offered to the members and the rates for those services). Center for Disease Control and Prevention (CDC). The role of the actuary is to decide the rates for the various services offered by the insurance company. Health care is a highly regulated area in U. the process of adjudication may be outsourced to another organization that has the necessary rule engine in place. __________________________________________________________________________________ 65736839. Apart from these regulating agencies.4. Center for Medicare & Medicaid Services (CMS).4. laws such as Health Insurance Portability & Accountability Act of 1996 (HIPAA) and Consolidated Omnibus Budget Reconciliation Act of 1986(COBRA) ensure the protection of consumer interests.In addition. claims which require very specific processing are sent to these specialized adjudication companies.5 Sales. Following are some examples of such agencies. After that come the Specialized Adjudication Engines/Companies who offer help on adjudication of claims. If a claim is determined to be free of typographical.doc Ver. 2. These rates are based on a variety of factors and involve statistical and mathematical computations. Usually. An insurance company has its own marketing workforce and also a pool of agents (brokers). there are agencies that aid the insurance company on various other fronts. Agency for Health Care Research and Quality (AHRQ). Meanwhile. All the services and management activities cannot be carried by the insurance company itself on it's own. it is forwarded to the insurance company responsible for payment. This helps reduce the cycle time for claims adjudication. it is returned to the Provider/Member along with an explanation of what was wrong. it’s not possible for an insurance company to have a rule engine (or a software that adjudicates a claim) for all types of claims. as there is stiff competition in the market.6 External Agents.0 Page 15 of 132 . Health Care Financing Administration (HCFA) along with others are responsible for regulating the healthcare industry. Sales and Marketing form an important activity in the health insurance industry. So in case of very specific claims (such as processing of vision claims). Together they use various methods and strategies to sell the plans to as many customers as possible. and logistical content errors. 2. the underwriter’s function is to approve/ validate the group specific factors added to rates by marketing people and apply mark-up or discount based on their judgment. Clearinghouses perform auditing services on insurance claims. the nature of claims processing being highly situation specific.Healthcare Overview ___________________________________________________________________ Also. syntax. 1.A. Government agencies such as Department Of Health And Human Services (DHSS).

Accreditation agencies are responsible for providing accreditation to organizations. the drug manufacturer provides discounts to the members. Claim filing: The provider prepares a claim that describes the services rendered to the member. average age etc for preparing a quote. Provider access: A member seeking medical service contacts the organization to get the list of providers in the geographical area of the member. PCP address and contact info. The member also specifies the primary and secondary MC organizations to the provider. 1. In return. The insurer then collects data like number of members. The schedule for premium payments is also defined at this stage. They are especially useful in case of small insurance companies who may not have the necessary infrastructure to take care of claim payments. purchase. Once the underwriting is done an OP (Offer presentation) is generated and sent to the quote requester. The quotes are based on the health industry statistics.0 Page 16 of 132 . Referring back to Figure 1. Health insurance companies also enter into contracts with drug manufacturers to provide preferred services to their members. adding beneficiary dependents to the policy etc. the major steps in this flow are -  Quotes creation: The plan sponsor contacts the insurance company and expresses a need to buy health insurance.Healthcare Overview ___________________________________________________________________ Third Party Administrators are responsible for making payments on behalf of a group health plan.doc Ver. location of members. Typically. ID cards are issued to the members that display the policy number. the members pay either a deductible or copay.5 Healthcare workflow. which permits them to sell their healthcare services in the market. enroll. 2. which then prescribe the same to the members. we are in a better position to understand the managed care workflow. and primary and secondary MC organization and submits it to the insurance company. adding beneficiary to the policy. Now that we have a fair idea of major players involved in the business. Claim processing: The insurance company validates the member and provider information in the claim and makes payment to the provider for the services that are      __________________________________________________________________________________ 65736839. serve and renew policies. census data or demographic details Underwriting: After the acceptance of quotes by the plan sponsor the underwriting department underwrites the actual policies in terms of plan coverage and commercial agreements. dependents. General agents provide end-to-end connectivity that allows brokers and their clients to shop. The insurance company promotes the drug manufacturer’s drugs amongst its members. OP explains the rating calculation done for the benefits selected by the Plan sponsor and also the terms and conditions under which the group is accepted for coverage. They are the people who work behind the scenes to reduce administrative hassles and resolve complex service issues. the policy department of the insurer creates a policy by assigning group policy number. The member sets up an appointment with the provider and receives the medical service on a pre-defined basis described in the policy agreement. cost of the service. All these external agents help the correct regulation and effective functioning of the Healthcare industry. Policy creation: After underwriting. The claims are either sent by mail (paper claims) or electronically. claim posting address etc. Providers in the insurer’s network are given a list of preferred drugs.

6 Summary. E.g. 1.S. It’s the area responsible for setting rating algorithm and the pricing factors to be used in rate calculation. An Explanation of benefits (EOB) is sent to the member describing the payments made and indicates the share that the member has to pay. We shall analyze this figure at the end. arranging for reinsurance. In case of multiple MC (primary and secondary) the primary MC coordinates the benefits between the two MC and sends a COB (Coordination of benefits) to the member. __________________________________________________________________________________ 65736839. Actuarial decides the factor to be applied to renewal rates of benefits offered in that region. Analysis of claims from a particular geographic location may reveal an increase in claims in that region due to reasons related to environment. This unit gave a brief overview of the healthcare industry to the reader. The more accurate and detailed representation of the workflow of the healthcare industry is given the following figure.A and then introduced the five pillars of healthcare. after a detailed description of all pillars has been given. future liabilities. contingency matters and prior details to come up with factors to alleviate risks.  Actuarial: This involves analyzing the trends. The details about the pillars and the other topics mentioned in this unit will be presented in the subsequent units.doc Ver.0 Page 17 of 132 . In the end the reader was given a brief overview of the managed care workflow. The workflow shown in figure 1 represented the workflow of a managed care organization. It started with the genesis of healthcare in the U. new products introduction etc 2.Healthcare Overview ___________________________________________________________________ covered under the policy.

insurance. 4. 2. __________________________________________________________________________________ 65736839.human. 1.7 1. Give a brief account of the development of the health insurance industry? What are the five pillars of healthcare industry? Explain the terms  Member  Provider  Benefits  Claims Explain in brief the workflow of a managed care organization.0 Page 18 of 132 .8 References. 3.cornell.Healthcare Overview ___________________________________________________________________ Figure 2: Detailed Workflow 2.com http://trochim.      www. 2. “Future of managed care” by Tufts managed care institute.yourdoctorinthefamily. Review Questions.com www.edu/ “History of managed care” by Tufts managed care institute.doc Ver.

1.Healthcare Overview ___________________________________________________________________  “Managed care overview” by Amit Shukla __________________________________________________________________________________ 65736839.doc Ver.0 Page 19 of 132 .

0 Page 20 of 132 .Healthcare Overview ___________________________________________________________________ __________________________________________________________________________________ 65736839. 1.doc Ver.

The provider/ member then will file a claim to insurance company. Claim will be validated and the insurer will reimburse the amount to the provider/member.2. The pictorial view of the process is as shown in figure 1. doctor) to avail the service. Once enrolled. 3. Some employers sponsor healthcare plans to its employees and its dependents.1 Insurance Business: An Overview.III 3 Members 3. Provider will check the eligibility of the member for that service.doc Ver. A person purchasing plans can cover himself as a member (commonly referred to as "Subscriber") and his/her family members as dependent members (commonly referred to as "Dependent"). Member can go to a service provider (hospital.Members ___________________________________________________________________ UNIT .0 Page 21 of 132 . 1. Member's data Asks for Service Providers Check Eligibility Files Claims Claim's Adjudicatio n Files Claims Member's Enrollment Payment Insurer Payment Fig 1: Member Overview 3. an insurer provides ID cards to its members.1 Unit Objective This unit will acquaint the reader with the role played by the member in the Healthcare Industry. These will be used to show the validity of the policy taken.2 Introduction Member is a person who is the actual beneficiary of the healthcare plan. __________________________________________________________________________________ 65736839.

0 Page 22 of 132 . Insurance: An Overall Picture.Members ___________________________________________________________________ For the pictorial representation of insurance business and the member's interaction with other systems please refer to figure 2. __________________________________________________________________________________ 65736839. Fig 2. 1.doc Ver.

But. if it is later discovered that he/she withheld information from the insurer. Group insurance. Individual insurance is somewhat more risky for insurers than group insurance. With individual insurance. This is generally done through a series of medical questions and/or a physical exam. he/she is taking a major risk by choosing not to get coverage. group insurance is generally a better option. individual insurance is generally more difficult to obtain and more costly than group insurance. the provisions of the policy are negotiated between the insurer and master policy owner (usually an employer or association). In a group insurance situation.1 Individual and Group Insurance in detail Individual Insurance Individual members are those who purchase insurance directly from an insurance company. is usually available without taking a medical examination or answering health questions. For this reason. individual coverage is infinitely better than being uninsured in the event of illness or injury. a member is responsible for 100% of the cost. his/her coverage could be canceled altogether.3. however. __________________________________________________________________________________ 65736839. Deductible and co-payment affect the premium. ironically.doc Ver. He/She will probably want to get quotes from several insurance companies before choosing one.3. Disadvantages of individual coverage Often. he/she may find it difficult to obtain coverage. In case of individual insurance. Advantages of individual coverage If available. since many insurers use information from the Medical Information Bureau to determine whether an applicant is insurable. since it is usually more comprehensive and less expensive than individual insurance. Individual insurance coverage is. It is unwise to try to hide a pre-existing condition from the insurer. much easier to come by when someone is healthy. However. by contrast. a person is directly in control of his/her policy. An unexpected illness or serious injury can put him/her and his/her family in financial peril. he/she is evaluated in terms of how much risk he/she present to the insurance company. the employer or association pays at least part of the cost of group insurance. a person may still be able to get a policy with an exclusion rider. Individual insurance often doesn't provide as much coverage as group insurance policies in the same price range. individual insurance is often more expensive to make up for the insurer's increased risk exposure. a person can either contact the insurer directly. because group insurance allows the insurer to spread the risk over a larger number of people. 3.0 Page 23 of 132 . He/She can negotiate to have certain provisions included or excluded. 1. and can often choose his/her deductible amount and co-payment percentage. Although someone may think he/she can do without health insurance. Moreover. When an individual apply for insurance.2 How to get individual insurance? To get individual insurance. If the insurer doesn't want to cover a particular health condition. just to make sure that he/she is getting the best coverage for his/her money. the insurer will want to know everything about his/her personal health history.3 3. The risk potential will determine whether person qualifies for insurance and how much the insurance will cost. or get in touch with the insurance agent. If he/she is already sick or have a history of health problems.Members ___________________________________________________________________ 3. Before issuing an individual insurance policy.

Waiver-of-premium provision This allows a member to skip the premium payments if he/she becomes seriously ill. The premiums may go up over the years. his/her insurance coverage continues. Best. And as long as he/she retains a reasonable out-of-pocket maximum. Some managed healthcare systems provide coverage on an individual basis as well. he/she shouldn't have to worry about medical costs getting out of hand. As long as he/she continues paying premiums. x-rays. Anything less than $1 million may be insufficient to cover you in the event of a catastrophic illness. and drugs) is preferable to hospital-surgical coverage (which covers only hospital and surgical services). some states require HMOs to offer coverage to individuals during a special open enrollment period each year. anesthesia. __________________________________________________________________________________ 65736839. By agreeing to a higher deductible and/or co-payment. or POS plan can often give the most cost-effective insurance coverage.doc Ver. However. Many policies do cover outpatient treatment. Choosing an out-of-pocket maximum is a personal matter. "Guaranteed renewable" provision This means the insurer can't cancel the coverage if someone becomes ill.Members ___________________________________________________________________ What to look for in an individual policy? If someone can find one that offers individual insurance. The provision can be very important if the person is unable to work for an extended period of time. although cosmetic and other truly "elective" surgeries are rarely covered. here are some things he/she should look for:  Financial stability An insurer with an "A" or "A+" rating from A. It does no good to have guaranteed renewable insurance if the insurance company goes belly-up. Anything over a year is extremely undesirable. and if someone might never have to worry about his/her out-of-pocket costs unless he/she becomes seriously ill. Three months to one year is standard. The highest deductible and co-payment someone can reasonably afford Lower deductibles and co-payments mean the costs will be lower if someone actually ever gets sick. if someone is getting individual insurance from a traditional insurer." this limits out-of-pocket costs. since it really depends on how much someone can afford to pay. or Standard & Poor's. In fact. someone will want to find a policy with the highest lifetime payout possible. 1. but he/she pays dearly for this protection.0 Page 24 of 132 . High benefit ceiling Policies with unlimited payouts are rare in this day and age. Lower out-of-pocket maximums can mean substantially higher premiums. Coverage of pre-existing conditions Many insurance companies impose a waiting period before covering preexisting conditions. tests. but they will rise for all policies in the class (not just individual’s). The shorter this period is better. an HMO. Out-of-pocket maximum Also called a "stop-loss. However. he/she can cut his/her insurance premiums dramatically. Moody's.M. Major medical coverage Major medical coverage (which covers all hospital costs including rooms. emergency-room care.        Providers who will offer individual insurance Most people purchase individual health insurance coverage through traditional insurers. PPO.

Cost Effective Because only one policy is issued for the entire group. 1. How to get group health insurance? Find out the eligibility Many employers offer group health insurance as part of their employee benefits package. this is better for those with chronic health conditions. clubs.3 Group Insurance Group insurance is coverage of a number of individuals under single contract. The only condition is that the group members must apply for insurance within the specified eligibility period. a single policy covers the medical expenses of many different people. the only real disadvantage of group insurance is limited or no freedom to customize the policy to individual needs. If a person fails to enroll during this period. The policy is typically negotiated between the insurer and the "master" policy owner (employer or association) with no input from the member. modify his/her existing coverage. such as average age and degree of occupational hazard. Advantages of group coverage Easy to obtain Under a group health insurance arrangement. It shows the benefits provided under the group contract issued to the employer or other insured. The premium for group insurance is calculated based on the characteristics of the group as a whole. all eligible people can be covered by a group policy. instead of covering just one person. where each person's risk potential is evaluated to determine insurability. regardless of current physical condition or health history. The most common "group" is employees of the same employer. regardless of age or physical condition. With group health insurance. the initial cost of establishing group coverage is lower than the cost of issuing a separate policy to each person. This means he/she will probably have to answer extensive health questions. Employers pay healthcare subscriptions for some or all of their staff. he/she must apply during the specified eligibility period. during which one may sign up for coverage. this is often the first 30 days of his/her employment. chambers of commerce. Each member of the group provided a group certificate. The purpose of the eligibility period is to reduce insurance costs by preventing people from waiting until after they discover a health problem to sign up for coverage. who might be unable to get individual insurance.doc Ver. In general. Clearly. this may be the first 30 days of his/her membership in the group.0 Page 25 of 132 . the insurance company has the right to treat him/her as though he/she was applying for individual insurance. For employer-sponsored health insurance. For associational insurance. Unlike individual insurance. and special-interest groups. The insurance company can then decide whether or not to insure him/her. Also. trade associations. group __________________________________________________________________________________ 65736839. The specific policy provisions are all determined in advance. as are deductible amount and copayment percentage. and go through a physical examination. the insurance company agrees to insure all members of the group. Apply for coverage although one’s individual health is generally not evaluated when he/she apply for group health insurance.3. or add dependents to his/her coverage. Both employers and associations may also have an open enrollment period each year.Members ___________________________________________________________________ 3. or the first 30 days following his/her initial probationary period. Other groups that may offer insurance coverage include churches.

The provision can be very important if he/she is unable to work for an extended period of time. he/she may be able to choose between two or more insurance plans. High lifetime payout Find a policy with the highest lifetime payout possible. since the risk is spread out among a larger number of people. In some situations. company-paid schemes are the fastest-growing segment of the market at present. This scheme makes things easier for the employees and encourages employee loyalty. A waiver-of-premium provision This allows one to skip the premium payments if he/she becomes ill. employers pay Healthcare subscriptions for some or all of their staff. This can make group insurance even more affordable. Lower out-of-pocket maximums can mean substantially higher premiums. An individual member does not have the freedom to have provisions included or excluded. the companypaid group healthcare scheme offers benefits for employer and employee alike. Within a fairly large group. Company Paid Groups     3.doc Ver. An increasingly powerful "perk" useful for both attracting and keeping good staff. Best. he/she can cut his/her insurance premiums dramatically. but he/she pays dearly for this protection. and his/her deductible amount and co-payment percentage are determined in advance.M. 1. By agreeing to a higher deductible and/or co-payment. Disadvantages of group insurance One can't customize the policy. In a group insurance situation. the employer or association will pick up some or the entire group insurance premium. Choosing an out-of-pocket maximum is a personal matter. And as long as he/she retains a reasonable out-of-pocket maximum. The highest deductible and co-payment one can afford Lower deductibles and co-payments mean the costs will be lower if one actually ever get sick. it generally costs less to purchase. In the increasingly tight labor market conditions prevailing in Ireland at the moment. Break on premiums In many cases. the provisions of the policy are negotiated between the insurer and master policy owner (usually an employer or association). or Standard & Poor's. A "stop-loss" provision This limits the out-of-pocket costs. Since group insurance costs less for the insurance companies to establish and administer.4 In these groups. Anything less than $1 million may be insufficient to cover in the event of a catastrophic illness. it is almost certain that the good insurance risks will equal or exceed the bad insurance risks. __________________________________________________________________________________ 65736839. Advantage of company-paid groups Deduction Schemes A salary-deduction scheme comes into effect when a company or group organizes deductions from each employee’s salary and forwards them to Healthcare. What to look for in a group policy?  Financial stability Look for an insurer with an "A" or "A+" rating from A.Members ___________________________________________________________________ insurance is somewhat less risky for insurers than individual insurance.3. one shouldn't have to worry about medical costs getting out of hand. however. Moody's.0 Page 26 of 132 .

SI Groups pay "Service Charges" to insurer for administration / management of medical insurance (adjudicating claims etc. sports clubs and interest groups. thereby reducing their effective rate of BIK to the standard rate of income tax. Self-Insured People are Profited by:  Getting more benefits for the same plan which an insurance company will not provide for others at low cost.3. the Credit Unions and the Small Firms Association. Benefit in the premium amount Some group schemes qualify reduction in the premium amount. one can provide his/her company with significant benefits in terms of employee recruitment.) 3. Benefits to the company Introducing a Healthcare group scheme for employees. 3. 1. Tax Relief for employees Employees are liable for Benefit-in-Kind (BIK) taxation on the paid Healthcare premium at their top rate of tax. retention and goodwill.6 Self Insured Group Plan Sponsors / Companies who pay the Claims' amount of their employees themselves are called SI (Self Insured) Groups. they are entitled to claim tax relief on the full premium. __________________________________________________________________________________ 65736839. In a company-paid scheme. The financial risk is borne by the Plan Sponsor.3.) for their employees. the company can claim healthcare payments under the Corporation Tax shelter. professional bodies. Ease of Payment Payments can be made by direct debit through company bank account. Alternatively. Insurance Company is profited by:  Getting a fixed sum of money for adjudication of claims. staff members can select a higher plan and simply have the balance deducted from their salary.  Their Work will be given higher priority by the insurance company.  They will be given more priority for processing of their claims then others get. But these figures are much lower than paying premium to cover all the employees.0 Page 27 of 132 . quarterly or monthly basis. Plan Sponsor is profited by:  They get the Health Insurance plan at a cheaper rate. leading to less stress for them and their employees. half-yearly. a payment can be made directly on a yearly. The SI group also has to maintain certain bank balance at all times to ensure the continuance of medical benefits to their employees.5 Affinity Groups An Affinity scheme is appropriate for members of business organizations.  Risk is moved to the Insurance Company.Members ___________________________________________________________________ Fast access to the best in modern healthcare Members can choose admission dates to fit in with work and family commitments.doc Ver. Flexible cover options Once employer chooses a particular level of cover. (Examples are the Irish Farmers’ Association. as it is helpful in growing their relationship.

Members ___________________________________________________________________ 3.7 Self-Employed Members Health insurance need of a self-insured person is probably greater than the average person. Un-reimbursed medical expenses include premiums paid for major medical. In terms of health insurance. trade group. and his/her dependents: First Year Second Year Third Year and thereafter 60% 70% 100% This deduction is limited to amounts less than the earned income. he/she may deduct the amount by which his/her un-reimbursed medical expenses exceed this 7. Most people get their health insurance through their employers. self-employed individuals can deduct a percentage of their health insurance premiums as business expenses. chamber of commerce) Deductibility of un-reimbursed medical expenses In general If someone itemizes deductions and his/her un-reimbursed medical expenses exceed 7.doc Ver. These deductions aren't limited to amounts over 7.5 percent of AGI as are medical expense deductions. However. __________________________________________________________________________________ 65736839. hospital. Archer MSA--a way to save for health-care expenses Archer MSAs (previously called medical savings accounts) are tax-advantaged individual savings accounts that work much like an IRA. 1. were eligible for an employer-sponsored health plan for any part of the tax year.5 percent threshold.0 Page 28 of 132 . his/her spouse. surgical. Special rules for the self-employed In addition to the general rule of deducting premiums as medical expenses. This option is not available to self-employed.3. his/her options may be limited to:  Individual health insurance coverage purchased directly from a provider  Group coverage purchased through a professional association or civic group (i. instead of saving for retirement. funds in an Archer MSA are used to cover healthcare expenses. he/she can deduct the following percentages of premiums for insuring himself/herself. and physician's expense insurance. then health insurance costs paid during that time cannot be used to calculate this deduction. The definition of self-employed individuals includes partners and 2 percent S corporation shareholders. and amounts paid out of his/her pocket for treatment not covered by his/her health insurance. if the spouse of a self employed person. Also.5 percent of his/her adjusted gross income (AGI) in any tax year. If someone meets the definition of a self-employed individual. because an extended illness or hospitalization could easily deplete his/her personal assets and endanger his/her business.e..

3.8 Exercise 1. in some states.200 for individuals ($5. are those who pay the Claims' amount of their employees are Self Insured Groups. and The annual out-of-pocket expenses do not exceed $3. This includes Medicare coverage. __________________________________________________________________________________ 65736839. Plan sponsors/ Employers 4. Many insurance companies are still developing qualified high-deductible insurance plans and products with a savings component. 5. Administrative /Management of medical insurance 5. The biggest challenge in setting up an Archer MSA may be finding a company that offers them.0 Page 29 of 132 . In fact. For Self-insured groups insurance company may provide the services. insurers are running into problems with state laws that prohibit such high-deductible plans. is not eligible to open an MSA. 4.600 and $2.400 for individuals ($3.doc Ver.3. 3. Many financial institutions are also still in the development stage with their Archer MSA account products.Members ___________________________________________________________________ A self-employed individual (or the spouse of a self-employed individual) may be eligible to open an Archer MSA if he/she currently has a high-deductible health insurance plan. 1. are those who purchase insurance in an employer sponsored insurance.800 for families). 2. A highdeductible plan is defined as one in which:  The deductible is between $1.200 to $4. Answers: 1.850 for families). there are exceptions to this rule.  Someone. Enlist advantages and disadvantages of individual and group insurance. having additional coverage under a health plan that is not a high deductible. However. Individual Members 2. are those who purchase insurance directly from an insurance company in case of an individual insurance. Employers 3.

The enrollment process will then be automated. 3. Enrollment through the employer based systems Employers do have employees data maintenance systems. There will be online systems set up there. Employer then validates and sends the information to the insurance companies electronically.0 Page 30 of 132 .4. Required data will be captured and sent to the insurance company electronically. This is the most commonly used approach. Data entry operators will make you enroll online. Member has to approach the office.1 Member’s enrollment What is Enrollment? The enrollment process comprises of collecting. billing. benefit information that he/she has opted for. Employees are allowed to select the benefits they wanted to opt for. Enrollment in the office outlets of the insurance company There will be city-based office outlets set up by the company. Membership letters and other details will be sent to the member once the process is over. verifying. a member can start filling up the claims. and claim adjudication. Web-based applications For an individual web based application will facilitate online registration/ enrollment to get enrolled. and making available all necessary eligibility information for enrollee membership.Members ___________________________________________________________________ 3. 1. This is most commonly used methodology for large employers having more than 300 employees. Once the enrollment is over.2  How is enrollment carried out? Traditional Paper Enrollment Enrollment forms would be available on the web sites or situated office outlets of the company. Member will receive membership letter once the enrollment is over. Member can fill up the forms and send it to the respective postal addresses. For an employer ID numbers and passwords for its employees will be provided. Collecting and updating the systems with the data completes the enrollment process.    __________________________________________________________________________________ 65736839.4. Member will provide all necessary data to the insurance company that will include personal information.doc Ver. The data will be received and formatted fed to the systems. product issuance.4 3.

doc Ver. Membership letters Once the enrollment process is complete.Members ___________________________________________________________________ Enrollment Data Flow is shown in figure 3.3  Output of enrollment process ID Cards A person insured under an insurance company is given an identity card. Member has to show his/her identity card when he/she approaches a service provider (doctor.    __________________________________________________________________________________ 65736839. Name.0 Page 31 of 132 . eligibility information. Employer Report A report will be sent to the employer giving the details of its employees enrolled and their details.4. Member Member Member Employer Associations Insurance Company Fig 3: Enrollment Data Flow 3. hospital. membership letters will be sent explaining the benefits he/she has opted. Provider Report Providers are made aware of the new members enrolled under his/her name. membership number and other details. 1. ID card would have details about the member's SSN. pharmacist).

0 Page 32 of 132 . ID card __________________________________________________________________________________ 65736839.4. Electronic data transfer from employers d.5 Exercise 1. Answers 1. Member needs to show _______ as a token of its membership in the insurance company. 4 Enrollment Process 3. Electronic data transfer. Direct enrollment in the field offices c. 3. 2. Means of enrollment are a.4 Enrollment: Overall Picture Please refer to figure 4 for the pictorial view of enrollment process.Members ___________________________________________________________________ 3.4.doc Ver. 2. 3. Traditional Paper transfer b. Fig. Web-based applications. 1. Enlist the means of enrollment. Employers having own member's database provide data to the insurer via _________.

Provider will also provide employer's data if the plan is sponsored by member's employer. Provider will send subscriber's information only if the member is a dependent. These validations are also carried away when the eligibility is validated.  Policy Dates. member number (Identification number given by insurer). Provider gives basic information about the member (Member's identification number.5. The system will crosscheck the eligibility for the service and inform the provider back. So every time a service is given a provider asks the system if member is eligible to get that service or not. ID number is validated with the insurer's database. Provider need not do any eligibility checks when member is having indemnity plans. This data will be validated with the database of the insurer to make sure that the person is a valid member. Every service-provider is bound to check the eligibility when a member asks for any kind of service except for indemnity plans.  Subscriber's information. If member is eligible. The system will run eligibility checks and returns the data to the provider. Identification number etc.doc Ver.5. So the policy effective date. Social Security Number) along with service he/she is asking for.0 Page 33 of 132 . __________________________________________________________________________________ 65736839. Again this will be validated against the insurer's database to make sure that the subscriber is a valid member. a member’s eligibility for a service will be decided upon the benefits that he/she has opted for. Member when purchases a policy selects the services that we would want to be covered. There are different services that could be covered by the insurer.1 Member’s and Dependent’s eligibility Eligibility Eligibility is the ability of a person to use any kind of service. Last name will be fed to the online system as input. Not all could be applicable for a member. Employer Name. premium will be decided. In case of prescription drugs there is a cap held on the quantity drug to be consumed by the member in a period of time. the service will be provided and provider will file the claim for the payment of the service.  Employers Information.Members ___________________________________________________________________ 3. Subscriber's name. termination date will be sent back to the provider. If the member is not eligible to avail the service the service provided will not be insured. will be given to the system. Insurers will set-up systems by which eligibility information will be available to the provider. 1.5 3. Every employer when signs a contract with the insurer are given identification number. 3. Taking insurance business into consideration. Data sent to and from the provider to validate the eligibility:  Member's information: The provider will send the identification information as SSN (Social Security Number). Depending on that various terms like rates. The data will be sent from the insurer that will contain duration for which the policy will hold true for a member is defined in the contract.2 Eligibility Process Provider will query on a member for getting a particular service.  Service related information.

Eligibility data flows as shown in the figure 5. employers and to its members.0 Page 34 of 132 . Some employers provide an online eligibility status inquiry similar to that given for employers.3 How a member should approach right provider? Eligibility also talks about the member getting service from a particular provider is valid or not.  Member having HMO plan __________________________________________________________________________________ 65736839. Insurer Member's Policy information Member's Policy information Member's Policy information Employer Member Provider Fig 5: Eligibility Data Flow The Insurer Insurance companies provide member eligibility information to the service providers. the deductible and all other information. Every time a member visits a provider. the information needs to be validated before giving any kind of service. providers and their administrative staff to quickly and easily get detailed information regarding submitted claim status and eligibility status of employees and their family members. Insurance companies set online systems through which providers can query for the eligibility data for the member approached to him. After getting confirmation from the insurer.doc Ver.5. 1. Even an employer is given access to this data so that it can monitor eligibility status of its employees. Employer groups normally use online administrative system that will provide eligibility status of a member. The Employer Eligibility information will be maintained and accessed by the employers. The Member Member may be interested in looking for their benefit data.Members ___________________________________________________________________ A member is also allowed to monitor its own/ dependent's eligibility status. 3. The Provider Healthcare providers need vital information related to member eligibility and claim status. By permitting healthcare providers to access this information directly. provider will give service to the member.

4. Affidavits of Dependency and legal documentation are required with enrollment forms for these cases. (Y/N) Son Bill of age 21 got married and moved out will be a valid dependent of Joe.5  Eligible Dependents Eligible dependents are member’s spouse and/or unmarried children under age 23 who live with member in a regular parent-child relationship. cartridges and diskettes.Members ___________________________________________________________________ Every member has associated Primary Care Physician (PCP) for medical services and Primary Care Dentist (PCD). So eligibility checks would be carried away but will not hold back the member from getting the service.6 Answers __________________________________________________________________________________ 65736839. If goes to in-network provider the co-pay will be less. coverage may be continued. Exercise 1.  Member having PPO plan A member will fall under a network and can get service from any provider falling in that network. But there is no restriction on the choice of the provider. foster children. (Y/N) Daughter July aging 26 passing through a phase of mental illness is treated as a valid dependent. These are generally unattended.5.0 Page 35 of 132 . This includes children who are away at school as well as divorced children living at home and dependent upon member for support. children who do not live with the member are eligible if member is legally required to support those children. Provider need not do any eligibility checks for member’s eligibility.  Member having POS plan Member is free to go to any provider. 3.  Member having indemnity plan Member is free to go to any provider. (Y/N) Providing member's eligibility data to the providers is a responsibility of the insurer. and children in a guardian-ward relationship are also eligible provided they live with member and are substantially dependent upon member for support and maintenance. Coverage for an enrolled child will end when the child marries.doc Ver. or turns age 23. The service will be provided only if the person is eligible for the same. Coverage for children age 23 ends on December 31 of the year in which they turn age 23 If a child is not capable of self-support when (s) he reaches age 23 due to mental illness. which can get lost or damaged. Stepchildren. (Y/N)    3. Providers need not validate the member eligibility before catering any kind of service. mental retardation. 2. legally adopted children. 1. If member is divorced. or a physical disability. 3. Provider validates the eligibility of the member for the service asked.5. automated transmissions that include security features like encryption technology and unique IDs and passwords for user verification and system access.4 Eligibility Data Transfer Most of the insurance companies transfer the eligibility data electronically. moves out of the household.5. This methodology eliminates the need to submit paper forms or produce and send cumbersome tapes. 3.

4.Members ___________________________________________________________________ 1. N Y N Y __________________________________________________________________________________ 65736839.doc Ver. 2. 3.0 Page 36 of 132 . 1.

There could be menu driven recorded message that will provide you information you want. where a member can enter personally to login a service request. 3. 3. 1. Provider inquiry etc. Review coverage status for medical and/or dental care. general description of your medical benefits and includes member cost-sharing information.  Walk in Situated are member service offices. he can keep track on what is the status of the claim.doc Ver. o Claim Status When a member has filed a claim. Web-based application is the most common of all of above modes. o Personal Details This includes the name. such as co-payment or coinsurance requirements. like the status of his/her claims. web-based applications.  E-mail Member services e-mail address to which a member can send a mail and ask for the service.6 Member Services Insurance companies provide plenty of services to make information available to its members. o Benefits summary Talks about a partial. __________________________________________________________________________________ 65736839.  Web based applications. contact numbers and other details. o Benefits Snapshot Review primary care physician or primary care dentist selections for the member and the covered dependents.0 Page 37 of 132 . There are several ways this service is provided most common is through phone calls.  Postal mail Paper driven approach in which member has to fill up a service request form and send to the member service station where the requested service application will be taken care of. address. Members can make various inquiries.  FAX Paper driven approach in which member has to fill up a service request form and send to the member service station where the requested service application will be taken care of. Member has to register his/her name in the application and the data would be shared.Members ___________________________________________________________________ 3.6.1 Means of services  Phone call Designed/Toll free numbers for member services.6. There will be webbased application where a member can login and avail the service or can login the service request. Essential security features are incorporated in the applications to prevent the data loss and data disclosure.2  Services provided by the insurer View information/ Inquiry only Insurance companies do provide a facility via which a member can view his/her benefit information and the status of his/her eligibility. claim eligibility.

are made available on the web-sites/applications that might be needed by the member. o Password change facility If there were a web-based application that caters all these facilities there would be a facility to change the password set up by the member. These forms could be submitted via postal mail to the claims offices (the address is generally specified on the ID cards). Some times the employers update the insurer about these changes. o Updating personal information Member may wish to update the personal information such as address or contact number etc. Internet also helps out by providing enough data on the site. or adoption of a child of the employee  The termination or commencement of employment of the employee's spouse  The switching from part-time to full-time employment status or from full-time to part-time status by the employee or employee's spouse  The taking of an unpaid leave of absence of the employee or employee's spouse  The significant change in health coverage of employee or spouse attributable to spouse's employment  Other services o Providing forms Forms like medical claim submit form/ dependent care reimbursement form. booklets:  __________________________________________________________________________________ 65736839. There will be company's officials sitting in the offices assisting the member in doing that plus there are designated mail-Ids a member can send a mail to. can walk in the offices set up by the insurer and do the changes.  Distribution of ID cards. proposed adoption. Some of the cases are:    A marriage or divorce of the employee The death of the employee's spouse or a dependent The birth.Members ___________________________________________________________________ o Provider directory Provider directory is that enlists the providers those are in the network of the insurer/in contract with the insurer. o Clarification about the benefits Member can get the doubts about the benefits at any point of time.0 Page 38 of 132 . web-based applications or the walk in offices situated.doc Ver. Log issues and complaints: o Logging provider complaint Member is free to log in any complaint about the service or the provider.  Update information These services are catered through phone calls. 1. o Provider change facility Member may wish to change the primary care physician or primary care dentist he/she has a facility to do so. o Add or delete family members at open enrollment.

8. cheque number.   Some insurance companies also send the premium statements through email. facilities: There are many upcoming services/ benefits newly provided by the insurance company. accounting and reporting of data to the plan sponsors (employers/ associations). New facilities information About products and programs that are available in the state. The member tears of the lower part of invoice. Monthly statements are emailed to the member portable document format (. The member has to fill a form for the ID card issuance.  Updating member with new products. recording. policy number etc.7 Premium Collection A member can pay premium to the insurer by following means:  Transferring fund from member’s account to insurer’s account: The member authorizes the insurer to get money transferred to insurer’s account. Payment by cheque If the member is willing to make a payment through cheque.1 Member Group Maintenance What are Groups? Groups are the frameworks used to organize billing. __________________________________________________________________________________ 65736839. The acknowledgement letter contains the detail about the payment such as premium amount. The facility to replace the ID card would be provided. o o o New benefits information. Member is kept updated with the information by weekly/ monthly reports or news on the websites. claim payments. Charging to the member’s credit card Some times member authorizes the insurer to charge the premium to his/her credit card.) and sends it along with the cheque in the envelope received with the invoice. 3. Address of the insurer is preprinted on the envelope. an acknowledgement letter is sent to the member stating that so and so amount of money is transferred from member’s account to insurer’s account as an insurance premium for a particular month.doc Ver. 1. fills in the detail (name. statements:   Can be viewed on computer.0 Page 39 of 132 . A new card will be sent to the address we have on file for you. Can be stored electronically on computer for easy retrieval.8 3. Once the money is transferred to insurer’s account. The premium statement is sent to the member along with an envelope. The member receives the acknowledgement letter from insurer giving detail about the premium received.Members ___________________________________________________________________ o Issue ID Card Member may need to issue a new ID card if misplaced/lost. Can print as many copies as needed. Can be zoomed in for larger print and easier reading and can be printed on virtually any inkjet or laser printer to get perfect copies. he/she receives a premium statement through post. Sending statements through email has many advantages.   3. policy number etc.pdf) attachment. moth.

0 Page 40 of 132 . groups are created and entered into the systems first then the enrollment for the individual members would be done. Change Membership Termination Date. Recalculate Family Contract. The CONTRACT IS RENEWED for a group and the members are REINSTATED. This data would generally contain Employer information Plan Effective Date Plan Termination Date Benefits Covered Network Information Co-pay rates Claim offices The members could override some of the features. The decision of the group structure will be based on Profit centers Unions Benefits Class of employee Locations Other categories specific to the plan sponsor For a group insurance. Family Group to Group Change. Payroll Change. Office Effective Date Change. Most Groups' renew their Plans every year in January. Third Party Address Maintenance. Group Maintenance includes               Office Details changes (Contact Number.Members ___________________________________________________________________ 3. Comment. Third Party Phone Number Change.doc Ver. Payroll Change. Reinstatement. Provider Office Change. ID-Card Request. Employment Change. Employment Change. Office Termination Change.3 Groups Maintenance Member and Groups' maintenance is performed annually. Member Name Change. Family Effective Date Change. Other maintenance performed on the member data is … Members Maintenance includes       Member's personal information changes (Address Change.8. Contact Address Changes) Third Party Address Change. Membership Effective Date Change. Provider Office Change. membership Termination date changes. Mass Id-Card Request (Co-pay Change). Membership Termination. __________________________________________________________________________________ 65736839. 1. 3.2 Groups Formation When a plan sponsor enrolls its employees.8. Mass Id-Card Request. Being a parent entity some data is defined at a group level that will be inherited by the members following under that group. the breakdown of the employee into groups will be done. Membership details (Effective Date Change. Suspended).

2 Exercise Questions 1. 1. 3.doc Ver. they must have the permission of state's insurance department. Disability benefits contracts in which policy cannot be canceled and premium cannot be raised are _________. Answers: 4. Enlist the services offered for group maintenance. pay attention to whether the contract is non-cancelable or guaranteed renewable. Opting for the guaranteed renewable provision may save as much as 30 percent of the premium cost. What types of services does the insurer provide? 2.9. Often. which would apply to all individuals in the same insurance classification).9.0 Page 41 of 132 . The funds paid are not specified for medical expenses . A non-cancelable contract is preferable to a guaranteed renewable contract. 4. __________________________________________________________________________________ 65736839. Non-cancelable. When the groups are formed in case of a group insurance? 3.9 Disability Benefits Disability income insurance provides members with an income if they become sick or injured and are unable to work. Guaranteed renewable. 3.1 Member’s concern When a member buys an individual disability insurance policy. 5. Guaranteed renewable means that the policy can't be canceled as long as member pays premiums. so may be premium will be raised only every few years. but the premium can be raised under certain circumstances (the state insurance department must approve the change.they can be used in any way the member wishes them to use. 5. For a guaranteed renewable contract company cannot raise your premium on an individual basis. Non-cancelable means that the policy can't be canceled and the premium can't be raised for the life of the policy as long as member continues to pay premiums. Disability benefits contracts in which policy cannot be canceled but premiums can be raised are _________.Members ___________________________________________________________________ 3. noncancelable policies are offered only to low-risk occupational groups at a high premium. Employers can provide coverage for employees too.

Members ___________________________________________________________________ __________________________________________________________________________________ 65736839.doc Ver.0 Page 42 of 132 . 1.

0 Page 43 of 132 .doc Ver.Members ___________________________________________________________________ __________________________________________________________________________________ 65736839. 1.

  Depending on contract the Providers can be classified as:  PAR: Such a provider is a participating provider and has a valid contract with Healthcare organization. NON-PREFERRED PROVIDER: These are those providers who are not contracted to furnish services or supplies within ‘PREFERRED’ network.  Other way of classifying them based on the type of contract is as follows:  PCP: Primary care physician.Providers ___________________________________________________________________ UNIT . physicians etc.g. Dentists. As the name suggests it is the PCP who is in constant touch with the members directly.doc Ver. organization or institution that provide services to those enrolled into the system i. 1. Every member is supposed to approach the PCP first before going to anyone else. Provider types can be classified broadly in the following ways:  Individual providers: These are those person who are not part of any group or association e. PREFERRED PROVIDER: These are those providers who work on contract basis by negotiating the compensation they charge.1 Provider types Providers are those people. the members. COMMUNITY PROVIDER: These providers do not have a contract at all with Healthcare organization. There can be numerous classifications of providers depending upon the facilities provided by them. Hospital etc.  NON-PAR: These are those non-participating providers whose contract with Healthcare organization is terminated. BACKUP-PROVIDER:   __________________________________________________________________________________ 65736839. Group Or Entity: These are group of people who provide services under a common name e.0 Page 44 of 132 .   SPECIALIST: A specialist is one who has one or more areas of specialization in medical field.g.IV 4 Provider 4. IPA or PORG: (Independent Practice Association or Provider ORGANIZATION) It is the legal entity that provides administrative and contract related services for providers.e.

or an appropriately delegated credentialing process. so as to assure a minimum amount of revenue by way of claims. Pharmacies. which involves clearing provider claims within a fortnight (subject to the provider electronically filing the claim in a prescribe format).Providers ___________________________________________________________________ A provider can specify another provider as his/her backup.3. 1. These are specialist networks of providers.2 Credentialing Criteria The process requires providers to present documentation of training. 4. 4. providers can be classified as following:    4.3. Maternity Home etc. Hospital. • Minimum number of member visits Some HCO(s) guarantee providers.0 Page 45 of 132 . individual practice associations (IPAs). E. SUPPLIERS: These are those providers who provide medicines and surgical instruments. 4.1 Provider Contract Process Providers who wish to participate in one of the networks must complete an application and the corporate credentialing process. e. path labs etc. and physician hospital organizations .PHO(s). Backup provider provides medical services to the patients of the provider when he is not available. EQUIPMENTS: These are those providers who provide medical equipment for executing medical tests such as X-ray labs. Based on nature of service. education and other relevant information.2 FACILTIES: These are those providers who provide facilities such as wards.3 Provider Contract Contract is an agreement between the provider or group of providers and the insurance company about the services the provider(s) will provide and the payment that the insurance company will make to the provider for the services rendered. Once a provider is accepted as a participating provider.g. Provider Participation HCO (Healthcare organizations) usually elicit provider participation (into their network) using some standard marketing strategies.g. Some HCO(s) have pioneered the E-Pay/E-Cash option. • E Learning Virtual Communities As some of the fringe benefits. Health insurance companies sometimes delegate credentialing to some physician groups. which share knowledge and intellectual property via the Internet. ICU’s.doc Ver. large HCO(s) provider e-learning options to enrolled providers via virtual communities on the Internet. a minimum number of member (or dependent) visits. Some of these are as follows: • Quick settling of claims Most HCO(s) attract specialist providers into their network by promising them quick turnaround of their claims. Health insurance companies usually consider:  Licensure and/or certification  Drug Enforcement Agency (DEA) registration (for Medical Doctors and Doctors of Osteopathy)  Professional liability history  Medical education and training  Specialty board certifications  Mental and physical health __________________________________________________________________________________ 65736839.. there will be routine visits to the provider's office and a re-credentialing process every two years.

5 Provider Reimbursement Most health insurance companies incorporate the following payment methods to reimburse providers for services. many participating primary care physicians are compensated in accordance with the Quality Care Compensation System* (QCCS) described below. per month)  By integrated delivery systems. In most areas. hospitals. independent practice associations (IPAs). membership/privileges. physician hospital organizations. some primary care physicians and other providers in the network are paid in the following ways:  Per individual service (fee-for-service at contracted rates)  Per hospital day  Under other capitation methods (a certain amount per member.4 Types of Contracts All major health insurance companies have several different types of provider contracts based on the type of servicing provider.3. mental health companies and similar provider organizations that are compensated by us on a capitated basis or other basis Quality Care Compensation System Under the Quality Care Compensation System. Additionally.doc Ver.  Quality-Based Physician Compensation  Quality Care Compensation System Quality-Based Physician Compensation Participating providers in the network have agreed to be compensated in various ways. Some of the different types of provider contracts include PCP contracts. For example. Under capitation.0 Page 46 of 132 . professional organizations.Providers ___________________________________________________________________     Disciplinary history (including licensure. 4.3. DEA registration. Specialist contracts and Hospital contracts. physicians are paid by capitation. 1.3 Verification of Provider Credentialing Information Health insurance companies verify the information about providers through a variety of sources:  State medical boards  National Technical Information Service tape  American Medical Association master file  American Osteopathic Association directories  American Boards of Medical Specialties  National Practitioners Data Bank  Malpractice carrier  Court records  Office of Inspector General reports  Hospital providers 4. Quality Review considers: __________________________________________________________________________________ 65736839. the system uses a three-part quality factor to adjust the physician’s capitation payments. This means the physician is paid a fixed amount twice a month for every member who selected that physician to be his/her primary care physician. a physician receives payment for a patient whether the physician sees the patient that month or not.3. specialists. Medicare/Medicaid) Work history Malpractice insurance coverage history Clinical privileges at a hospital hospital 4.

A referral once issued has a validity period. 4. details of the provider for whom referral given. Referral maintenance – through this process one can modify the existing referral entry. Insurance Company 4.g. Providers who provide medicines and surgical instruments are known as ___________. Encounter date. The information which needs to be entered are Member number.5 Provider Referral A referral is a form of authorization given to a member to access services performed outside the Primary Care Physician’s (PCP) office. 4.1 Referrals processing  Referral entry – All the referral should be entered in the referral database so that it can be used if required. PAR or Participating 3.   __________________________________________________________________________________ 65736839. A PCP or an authorized provider provides it when special care is required. Suppliers 4. Referral entry can be done through batch or online processing however inquiry and maintenance is done through online screens. It depends on the plan taken by the member. Some plan has flexibility to visit any provider without any prior authorization in that case referral doesn’t come into picture. Referral inquiry by member or referral number – Once the entry is made then at any time one can inquire about the details of any referral. A PCP can issue themselves referrals for non-routine services. The inquiry can be done either on the basis of member number or referral number which ever is known.doc Ver. 2. If some referral has to be cancelled then we can do that through this process.4 1. 1. which is generally fixed and can be 30 to 90 days and to utilize the referral the initial visit must be within that validity period.0 Page 47 of 132 . Answers: 1. IPA. Contract is an agreement between the provider or group of providers and the _________________. details of the provider who is referring. A provider is called as ________ provider if he has a valid contract with the company. 3. Referral is not always required to visit outside PCP. flu shots and cholesterol screenings) members get from their physicians  Number of our members who change their primary care physicians How well the physician provides access to care and manages the care of patients with chronic illnesses like asthma. diabetes and heart failure   4. True. PORG etc) 2. (E. referral validity ‘From’ and ‘To’ date and service code (it specifies the king of service/treatment).5.Providers ___________________________________________________________________ Results of member surveys Review of the care (like childhood immunization rates. Exercise The legal entity that provides administrative and contract related services for providers are also a type of provider – True or False.

) who have agreed to treat AUSHC members at negotiated rates and have agreed to abide by patient and quality management programs. 4.  Electronic referrals – Direct online entry by provider. laboratories. AUSHC then reimburses that organization for allowing our customers to use the network. 58552. the referral will not be purged. __________________________________________________________________________________ 65736839.g. o If the referral is 18 months or older.  Specialized Care: National Medical Excellence Program helps members needing highly specialized medically necessary treatment such as transplants or cancer at national recognized institutions when the required procedure is not available locally. and the referral has been logically deleted. one of the toughest participation requirements in the country. local practices.doc Ver. o If the procedure/service code indicates that it is an infertility referral (e. and a visit has been taken within the last 30 months.5. If the referral meets the purge criteria below. All referrals over 18 months old are purged. Factors such as population. in particular. availability of health care services. 1.  Extensive Monitoring: Participating Primary Care Physicians are re-credentialed approximately every two years based on a number of criteria including chart audits and the results of member surveys.  Tough Standards: All providers must meet our comprehensive credentialing standards. the referral will not be purged. The second is a file that is used by another job. and acute care hospitals.1 Quality Provider Networks AUSHC believes members benefit from quality provider networks in the following ways:  Comprehensive: Several providers participate with AUSHC including. primary care physicians. the referral will not be purged. must meet more than two-dozen criteria for admission into our networks. 58551.6. with the following exceptions: o If the date of the referral entry is less than 18 months from the current date.2 Referral types There are two types of referrals:  Paper referrals – In case the provider is not connected to company’s network he can enter the referral details on a paper which can later be scanned to a microfilm or manually entered by a processor to the database of the insurer.Providers ___________________________________________________________________  Referral purging – This can be done in batch mode. A rental network is an arrangement in which another organization (besides AUSHC) contracts with a group of providers. 4. 58550. etc. All providers’ performance in monitored regularly. This information will be written to a yearly archive file that is used to recall purged referrals. This is possible if the provider is connected to the company’s network directly or through a third party. and a visit has been taken within the last 6 months. 58560). 4. A Job will scan all referrals within the referral database.6 Provider Network A network is a group of contracted providers (doctors. Primary care physicians.0 Page 48 of 132 . specialists. and travel time are taken into consideration when contracting with local providers to join the networks. it will be written to two output files. Our objective is to establish networks large enough to satisfactorily serve the targeted population to whom they will be available. which will do the actual erase of the referral. 58555. The first will be a detailed dump of the referral that will be written to a purge file. hospitals.

0 Page 49 of 132 . network staff target providers to be recruited and contracted. 4. In the healthcare organization.6. Labs etc. Provider status – Shows current status of the provider.6. 1. one the major database is Provider database. 4. They must also maintain adequate malpractice and general liability insurance or self-insurance. licensure or accreditation status.. given to each provider to identify the provider easily.doc Ver. appropriately licensed and accredited by either the American Osteopathic Association (AOA) or the Joint Commission on Accreditation of Healthcare Organizations (JCAHO).3 Rental networks A rental network is an arrangement in which another organization (e. All the inquiry or maintenance of providers is done based on provider number. which includes hospitals. 4. The status can be retired. Pro Net) contracts with the providers.6. and when members have access to the various types of medical services they may need. closed. deceased etc.2 Network Adequacy Network adequacy refers to both the availability of a participating provider within geographic perimeters and the availability of essential services from a participating provider. Almost all the system uses this database to get any information about any provider. 4. and will remain during the term of the contract. Provider name – it is the name of the provider if he is an individual provider. All facilities are also required by contract to notify us of any change in coverage.1 some common information of Providers Some of the common information that needs to be captured for a provider is given below:  Provider number – this is a unique number which is system generated. but may vary to accommodate local supply and regulatory requirements. and provide evidence of such insurance upon request. A provider who is providing healthcare services on current date is an active provider.7 Provider maintenance This process involves collecting information on all type of Health Care Providers.Providers ___________________________________________________________________ 4.g. A PPO network must be complete enough to provide members’ access to a participating provider for a core of essential medical/dental services. They compare the existing network with adequacy guidelines for the specific service area and identify whether there is a need for new providers.   __________________________________________________________________________________ 65736839.4 Network Hospital Standards Our current hospital contracts require network hospitals to represent and warrant that they are. Instead of engaging in direct contracting arrangement with individual providers. The criteria used to select participating providers reflect minimum network composition standards. Doctors. After developing a list of providers by type needed to meet customer needs. networks are adequate when there are enough providers available for the member population in a geographic area. If it is any group or hospital then name of that should be stored. Aetna reimburses the rental network organization for allowing our members to use the network.7. The local Network Management staff has the ongoing responsibility of ensuring that each network has the proper composition of providers. In other words. Provider maintenance should be done everyday in order to keep the provider database up to date all the time.

Providers will participate with an organization for a certain period and may discontinue. which is different from all his SL addresses. he specifies a level 10 billing address.0 Page 50 of 132 . It can be weekly. one of their addresses is identified as principle billing address. b) Members have access to the various types of medical services they may need. Psychologist. 3. __________________________________________________________________________________ 65736839.8 1. Nutritionist. only then the payment is made to the principle service address.    o   Claims payment schedule – It is the interval of claim payment to the provider. 2. Billing Address . c) Both of the above. 14 & 15 – If a provider wishes to have separate addresses for capitation and claims payment. Midwife.g. – Physician. but the company needs to put their details as well. d) None of the above. 4. he can specify level 14 billing address for payment of capitation and level 15 billing address for payment of claims.The area in which a provider specializes is called his SPEC or specialty. Provider Specialty . Provider network is adequate when: a) There are enough providers available for the member population in a geographic area. to process their claims. Effective and termination date . bi-weekly or monthly. Provider can have maximum of ten Service Locations (SLs). ____________________ is the interval of claim payment to the provider. Dentist. There would be providers in the database.09 Service addresses. If the code for billing address is o It’s the principle service address. Contract info – this information tell whether the provider is in contract with the company or not. o This is CAP and Claims billing address. 14 or 15 billing address.The address at which the payment of claims is made to a provider is called the billing address. is ____________. A unique number given to each provider. E. Clinical Social worker. 1. which ease in maintenance of that provider record. transportation etc. 02…. Exercise Referral is mandatory to visit a specialist irrespective of insurance plan/policy – True or False. There are some plans available in which the member can visit any provider irrespective to his contract with the company.All information maintained are time sensitive. A provider can have more than one billing addresses. Nurse Practitioner. which are not in contract with the company. Both claims and capitation payments go to this address only if provider has not specified level 14 and level 15 addresses.doc Ver.  4.Providers ___________________________________________________________________ Provider type – Provider type is categorization of the providers depending on the type of healthcare services they provide. If a provider has more than one service locations. The addresses of rest of the nine SLs are stored as 01. If there are no levels 10. Radiology center. If a provider wishes to have a billing address.

com/ http://www.edu __________________________________________________________________________________ 65736839.healtheon.0 Page 51 of 132 .com/ http://www.Providers ___________________________________________________________________ Answers: 1.com/healthcareproviderinfo. Review Questions What are the various criteria for the provider type classification? What are the credentialing Criteria considered by the Insurance Company before making an agreement with the provider? Explain various stages in Provider referral processing? What is the difference between Provider Type and Specialty? What payment methods do insurance companies use to reimburse providers? 5.healthinsurance. Provider number 3.com/ http://www.htm/ http://healthcare.healthaffairs.10 References AETNA Intranet http://www.doc Ver.ucla. 4. 1. 3. (E.masslegalnurse.doctorandpatient. 4. False.asp/ http://www. In Indemnity plan referral is not mandatory) 2.g.9 1.doctorquality. C.com/www/provider. Claims payment schedule 4.org/ http://www. 2. 4.

doc Ver.Providers ___________________________________________________________________ __________________________________________________________________________________ 65736839.0 Page 52 of 132 . 1.

Together they use various methods and strategies to sell the plans to as many customers as possible.doc Ver 0. The banding of the medicare promotion award could be something like this: Program To Date Application Level Payoff per Application   65736839. Each Customer group should submit a stipulated minimum number of applications for corresponding broker to qualify for commission.1 Unit Objectives This unit aims to familiarize the reader with some aspects of insurance sales and quote creation. in health insurance too brokers bring together buyers and sellers against a commission. Producer Data is frozen at the end of a year. An insurance company has its own marketing workforce and also a pool of external agents (brokers).Sales ___________________________________________________________________ UNIT . as there is stiff competition in the market. A substantial percentage from customer groups’ payments result in distributing some percentage as commission to brokers. As in every other business. This bonus is in addition to commission a producer receives on premium paid by Customer Groups. User groups called actuaries and underwriters play key roles in deciding the rates and thus in selling the products even though they do not interact directly with customers. here buyers being the customer group buying a plan and sellers being the insurance company.000 per Customer group per calendar year. Users within the company need to maintain particulars of brokers and information regarding broker-customer relationship.3.00a Page 53 of 150 .3 Brokers An insurance company generally has a pool of brokers.2 Introduction Sales and Marketing form an important activity in the health insurance industry. Brokers are also called Producers in this context.1 Calculation for Brokers Broker Commission calculation can be divided into following main sub topics  Product-wise compensation: Sometimes a broker group deals with only a particular kind of product. 5. Medicare Promotion Compensation – Some companies pay bonus to brokers for bringing in new Medicare Applications. In such cases the Customer and Cash receipts information is maintained and broker commission is calculated from that. Key Producer Compensation – Sometimes the company identifies key producers and gives them bonus if they get more than a fixed number of new subscribers.V 5 Sales 5. 5. The various entities involved like Brokers and Underwriters are also discussed. The bonus distribution could be something like this: Net Subscribers Produced Override % of Premium 150-750 1% 750-2500 2% 2501+ 3% Cap of $60. 5. This bonus is one time payment for new application and it depends on number of new application submitted.

 The location / service area of the customer group . Name of the firm buying the policy 2. (In section 5.rates are revised from time to time and hence the dae of commencement of coverage affects the rates. 5. Some standard information – like applicable conditions. possibly after relevant customizations. State regulations affect prices.  The effective date . But they do not apply these factors. a quote is a statement of cost. statutory information etc 5. These rates need to be approved by the concerned department in some states. It contains information about: 1. Details of coverage (benefits like pcp visit. On the basis of statistical considerations and mathematical calculations and with the aid of rating applications.2 The Process Of Quote Creation For the process of Quote Creation to begin Product-Benefit Setup and Rate Setup need to be completed as part of pre-sales activities.) 65736839.1 Quote Creation What is a quote? A quote is a statement of rates of a particular product. However. Actuaries come up with rates for each product. (It is to be noted here that an insurance company needs an approval from the government in order to sell a plan in an area at any time. A highly specialized and trained user group called Actuarials does rate Setup. In context of health insurance. benefits and conditions of a chosen plan. do not take account of any factors specific to any customer-group.) These are all mainly data-entry operations. for the member(s). tax structures etc. These rates are called Community rates or Book Rates or Base Rates and they depend only on:  The plan chosen . benefits and new locations where plans will be offered for sale.6 we will study in details how Actuarials arrive at these rates. given by a seller to prospective buyers. 6.e. inpatient hospitalization etc) 5.00a Page 54 of 150 . make certain products saleable in certain area and withdraw some products from some areas as and when required. the policy becomes void) 1. If not renewed by that time.4. All these affect the cost of the plan.4 5. They group and combine benefits into plans and maintain data about product-offerings in different service-areas i.4. Hence Book Rates are same for any customer group availing a particular plan in the same area and hence the name Community Rates. Name of Plan 4.Sales ___________________________________________________________________ 1-250 $100 250-500 $125 500-1000 $150 1000-2000 $175 2000+ $200 Cap of $60. Service Area – Area in which the members will be based 3.the benefits included in a plan are basis of the cost of the plan. Admin users usually do product setup.Government regulations often mandate certain kinds of coverage. Rates (the premium due per member. Actuaries also calculate the values of group-specific factors for different locations at different times.doc Ver 0.000 per Customer group per calendar year. Effective Date & Renewal Date (date from which the policy will take effect and date when the policy will be due for renewal. They enter data about new/updated plans. In case of a group insurance policy the rates may be banded on basis of age/ gender/ family status).

Initially representatives approach prospective customers. marketing activities begin. in order to let the customers know of the exact price (premium. product comparison reports etc) which give them a rough idea of the costs of the short listed plans.Sales ___________________________________________________________________ Figure 1 below depicts the setup workflow. while some others can be used by marketing assistants also but need a validation / approval from Underwriters. copay & coinsurance) of the chosen plan(s). Customers give their details and preferences. and narrow their selection to a few plans. At this point the representatives approach the assistants to get the quotes for these plans. A few examples of special rates could be increased rates due to industry specific risks. requirement of extended coverage. Through a few iterations customers see some generic rate sheets (like Copay sheets. Marketing personnel are broadly of two types .doc Ver 0. Prospective customers include new prospects and existing customers whose policies are approaching renewal dates. reduced rates due to prior history of low number of claims and so on. Generally marketing people are given privilege to create only very straightforward quotes. and then apply special rates or group specific factors depending on the profile of the group and their specific needs. Figure 1: Workflow for Quote Creation Once set up is complete. 65736839.00a Page 55 of 150 . They suggest some suitable plans to these customer groups.Representatives who interact with customers and Assistants who have some (generally limited) access to applications generating quotes. The assistants first pull out the book rates. Some special rates can be used only by underwriters. For most special rates they need to fall back for on another user group called Underwriters.

Once they approve the quotes the marketing people present them to the customers. (We will discuss activities of underwriters and special rates in detail in section 5.00a Page 56 of 150 . They can make adjustments according to their discretion.Sales ___________________________________________________________________ Underwriters have the final say on the rates. Fig2 below is a pictorial depiction of this workflow: Fig 2 To support these various activities a health insurance company typically has a suite of applications as shown in fig 2: 65736839. thus entering into a legally binding contract and members are enrolled for the accepted policy. If rates are acceptable to the customer group they sign on the quote sheet.7).doc Ver 0.

If two customer-groups in the same service area are buying the same policy at the same time would necessarily have ______________(same /different) Book Rates. Underwriters and Marketing assistants use both of these.0 Here we see that central to the system are the Admin and the Rating Applications. Group-specific 65736839. Exercises: 1. and are also used for renewing contracts. Enveloping all these there may or may not be a Quote front end . An optional layer above these would be a web-based front end . Admin applications are used by Admin Users for Product Setup.Sales ___________________________________________________________________ Marketing assistants Fig 3. 3. Quoting Engines generate quotes with customer specific rates.which would act as a single interface or gateway for all marketing.Intranet for use of all internal users and Internet for use by customers to get data online. The difference between Book Rate and final rate would be due to ______________factors. The final say on the rates is with (a) marketing people (b)actuaries (c) underwriters (d)underwriters 3. 4. Quoting Engines and Renewal Applications use the data generated by these applications. Actuaries to calculate the Base Rates of Products use rating applications. Product Setup is done by (a) admin users (b)marketing people (c)actuaries 2. managerial and underwriter users to the suitable application.doc Ver 0. Renewal Applications pick up contracts that will be shortly due for renewal.same 4. Answers: 1.2.c .00a Page 57 of 150 . a .

the adapter. the problem solver. Conservatism would lead to higher prices. On this.measures length of time that some well-defined status exists e. Risks: the risks associated with providing the benefit.some coverages show a seasonal variation. a high percentage of all actuarial calculations is based on one or more assumptions. Sometimes adjustments also need to be made in view of unusual circumstances.doc Ver 0. if income is expected to increase in future. In all these the actuaries must exercise utmost caution and judgment. when one takes a mortgage. the time between the occurrence of the illness and filing of claims.g. Actuarial conservatism means the use of any actuarial technique (usually but not always the choice of one or more assumptions) that leads to a higher price for a set of benefits. the estimated duration of hospitalization for a particular coverage. the rate of investment return).00a Page 58 of 150 . Time until termination . than Y days down the line. from time to time.The total dollar amount of claims arising from a particular block over a particular time period Rate of interest: (or more generally. Evaluation of benefits and estimation of costs is done along these lines. Total Claims . This is also called the pure insurance cost for a unit of coverage for each benefit or the PMPM (per member per month) for the benefit. and by time to maturity and thus affect any financial assessment. the probability of occurrence of each risk and the severity of the impact of the risk Time value of money: this variable is based on the concept that X amount of money can yield more value today. some show a long term trend III. Interest rates vary in many dimensions. by degree of security risk. This is where the judgment factor comes in. The PMPMs of all the benefits in a plan are added to get the PMPM of the entire plan. conservatism & adjustments: last but not least. II.g. then this future income can be brought into the present e. Random variables: actuaries use statistics and probability to estimate what they call "the certainty of uncertainty". or a higher value of a liability. Examples of random variables: I.number of claims arising from a specified block within any given time .Sales ___________________________________________________________________ 5. Actuaries apply i) Cost and utilization factor: This estimates how a change in the price of a benefit affects the members’ usage of that benefit and in turn the company’s income e. prices etc. to provide that benefit to one member in a certain period of time. if Copay for a specialist consultation increases a member may go in for specialist consultation less frequently. In the field of health insurance actuaries use statistical methods and some judgment to arrive at Book Rates for plans and the values for group-specific factors. 65736839. So. Each plan is a collection of benefits. the innovator. taxation laws.5 Actuaries The role of the Actuary is said to be that of the designer. the time between filing of a claim and the actual settlement etc. Number of claims .g. and the technician of the continually changing field of financial security systems. the risk estimator. But too much of conservatism would make prices uncompetitive. Assumptions. in order to calculate Book Rates. Actuaries first estimate the cost the insurer has to incur in terms of payments towards doctors / hospitals/ equipment etc. Some of the factors that are considered for this calculation are:       Statutes and regulations: state and federal laws mandate certain coverage in certain areas. from place to place. Further.

For example people working in S/w industry are likely to go for routine eye check-ups more frequently. The probable frequency of members availing this benefit varies accordingly. (True/ False) Q2. they get a discount and vice versa. Q2. Rates need to be raised or lowered accordingly. E. Depending on the geographical factors and state regulations even the 65736839.  Mutualized : Some customer groups may have outlets/ offices in various locations across the country. Thus.    Dependant age: A firm may want employees’ dependents to be covered to a higher / lower age than the default coverage.Normal profits are hereby built into the rates Thus the actuaries arrive at the Book Rates or the Community Rates for the plans. Retention factor. Retention 5. If number of claims for a plan is low. Prior experience: Underwriters need to analyze the customer-group’s prior history of claims. Their main function is to approve/ validate the group specific factors added to Book Rates by marketing people and apply mark-up or discount based on their judgement. Class Rate/ Tabular Rate: Sometimes firms requests and sometimes state regulations mandate that the demographic composition of the group needs to be considered. Accordingly underwriters apply factors specific to the industry to adjust the rates. Class rating is a rating methodology where rates are banded into tiers (single. Here each member pays more accurately for the risk he/she adds.6 Underwriters 3. an unmarried males in age group 20-30 would be assumed to be more prone to accidents than a married male in age group 40-50. Exercises Q1. Profits are included in the rates by applying _______________ factor.doc Ver 0. and suitable factors are applied to account for these. Sometimes underwriters have exclusive access to some special factors. For estimating the values of group specific factors also they use similar considerations.g. couple.false Underwriters form a very important user group in any insurance industry. (True/ False) Answers 1. while the latter may be more prone to a heart attack. PMPM of a plan is the same as Book Rate. thus generating a table or matrix. they have the final say on the rates. This would affect the probable usage of relevant benefits. parent child and family) and members pay according to the kind of coverage they want. false 2.00a Page 59 of 150 . Some group specific factors that underwriters need to consider are:  Industry factor: Some industries expose employees to or protect them from some job specific risks. Tabular Rating is a rating methodology wherein multiple tier rates are exploded into age/gender bands. PMPM of a plan identifies the income of the company per member per month for that plan.Sales ___________________________________________________________________ ii) iii) Trend factor: This takes care of market trends and possible changes in rates over subsequent quarters.

Rounding: Underwriters may decide to round off rates to penny. This can make much difference when a large number of members are involved.doc Ver 0. Depending upon the strategy. c) Mailing – Sending product information to prospects through postal mails. Unusual: Underwriters need to consider various unusual factors to adjust final rates.Sales ___________________________________________________________________ book rates could vary from place to place. sudden spread of a disease. Undewriters need to take care of this. In such cases the group may request a blended. Underwriters cannot exercise any discretionary power.7 Insurance Payer’s Sales Department The marketing of a healthcare product is done predominantly in three ways: a) Advertising – Putting up advertisements in various media. b) Telemarketing – Calling up prospective customers and giving them information about the products. The sales manager decides the strategy for marketing like which service areas should be targeted. underwriters need to identify and calculate the risk of loss from policyholders. (True/ False) 3. and accordingly adjust the final rates in the current cycle. false 5. Exercises 1. or it may have to pay excessive claims if the underwriting actions are too liberal.    To sum up.00a Page 60 of 150 . 2. some national calamity. target prospects are picked up from the database. recommend acceptance or denial of the risk. true Answers: 1. Underwriter Judgement: Underwriters reserve rights to adjust rates based on their discretion. 65736839. should phone follow-up be done after sending mails etc. These may be as varied as unforeseen fluctuations in the economy. 3. how many prospects should be targeted in various region. This calls for extreme caution and accurate estimation skills. establish appropriate premium rates and write policies those cover these risks. uniform rate across the organization. (True/ False) Underwriters should always estimate risks very conservatively for the company to profit ( True/Fasle) While determining final rates for a cycle. underwriters should take into account previous dealings with the same customer group. Their judgement must be shrewd because an insurance company may lose business to competitors if the underwriters appraise risks too conservatively. dime or quarter. false 2. what age group of prospect should be targeted for a particular product.  Misquote: In case of repeat business underwriters need to analyze in retrospect whether some erroneous rates had been quoted in the previous cycle. The group underwriter also needs to analyze the overall composition of the group to assure that the total risk is not excessive. some expected change in the customer group’s business and so on.

who voluntarily contact healthcare company to get information on it’s products. c) Member mailing: Involves mailing to existing customers of Aetna. Their expiry date is one year from the date on which it was entered. History of mailing is maintained for each prospect and each product to ensure that one product is not marketed to the same prospect twice. 3. Answers : 1. seeds are implanted in each batch of mails dispatched. 2. Responders expire from the database after one year. • • • The various ways of obtaining the information about new prospects are External vendors Telemarketing Responders External vendors supply the list of new prospects every year. Responders are customers. it’s a fair assumption that all the prospects addressed in that batch of mails must have received the mails too. new prospects with phone numbers are loaded to the Dialers. False 2. Mailstream system is used to pre-sort the mails to obtain further discounts from postal department.doc Ver 0. True 3. False 5.7. True 4.00a Page 61 of 150 . b) Vendors who supply data of all the deaths in a given service area. After sending mails. The responders names do not expire from database. Code1 plus software validates addresses. 4. c) Vendors who supply data of prospects who do not want telemarketing ie they do not want to be called and informed about new products. Seeds are sales department employees and if the mail reaches the seed. US Postal Department gives discount on CASS certified mails. Marketing by mailing involves sending e-mails to prospects. Meeting mailing informs prospects about meetings and seminars. These prospective customers are entered into the database by Tel Marketing department. Exercises True or False 1. b) Meeting mailing: Informing the new prospects about seminars or meetings conducted by Aetna and requesting them to attend the same. It also helps to ensure that same set of prospects are not getting selected for marketing too often. To ensure if the mails are delivered. Tele marketing department retrieves the names from Dialer box for phone follow-ups. These names stay on the database for one year from the date the names were received from the vendor. d) Vendors who maintain latest information like addresses of all prospects and update our data files by matching it with theirs. 65736839. Postal mails sent by sales department fall in three categories: a) Regional mailing: Mailing is restricted to selected regions or states. Telemarketing department gets new prospective customers by calling people.1 External Agents that deal with Sales Department of Insurance Payers External agents that deal with sales department of Insurance Payers are : a) Vendors who supply data of new prospects.Sales ___________________________________________________________________ The mails to prospects are processed through Code1 Plus software which validates addresses and gives CASS certification.

Sales ___________________________________________________________________

5.8 1. 2. 3. 4. 5. 6. 7.

Review Questions Summarize the workflow involved in quote creation. Summarize the build up of the final rates in a quote(pmpm-book rate-final rate) How do actuaries arrive at Book Rates for a plan? Summarize some group-specific factors underwriters consider during quote creation. Define prospects. Who are responders? What is CASS certification? What is the role of external agents in sales department?

8.

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Sales ___________________________________________________________________

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Benefits ___________________________________________________________________
UNIT - VI

6

Benefits

6.1

Unit Objectives

This unit will acquaint the reader with different types of healthcare plans and the benefits they offer. 6.2 Introduction

Healthcare is very expensive in the U.S.A and it is essential for people to have some kind of health insurance. Insurance is available from various organizations in various forms. Each insurance company has its own, customized way of providing insurance, called a ‘Plan’. Plans can be broadly classified as – 1. 2. 3. 6.3 Indemnity plans also known as ‘Fee-For-Service’ plans. Managed Care plans. Other Plans. Indemnity Plans

Indemnity plans are the traditional fee-for-service kind of plans. The member is eligible to visit any provider of his choice. He has to pay the provider for services availed and then file a claim for reimbursement of the same. The amount of reimbursement will depend on whether, or not, the member has satisfied his deductible. In case the deductible has been satisfied the insurance company will pay its share. In case the deductible has not been satisfied, the reimbursement amount will be lesser. Advantages  Members do not have to choose a ‘Primary Care Physician’ (PCP, as he is known, is an entity associated with managed care plans, and will be explained later in the unit). No need of a referral (prior permission from the insurance company) to visit a specialist doctor. In case of managed care plans (as will be explained later in the unit) members are required to choose a provider from a network (or a group) to get higher level of benefits. In case of Indemnity plans, there is no concept of network and members can avail the services of any provider. Thus, Indemnity plans offer maximum freedom of choice to a member in choosing a healthcare provider. This is the primary reason why people may prefer to be in an Indemnity plan.

Disadvantages    Members have to pay high premiums. Members need to meet a deductible before they can start claiming benefits. Preventive care is not covered. This means that for a routine check-up, the member cannot file a claim.

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which are more cost effective. 65736839. The insurer will reimburse only 80% of the costs. There is no coverage for any preventive care. Managed Care Plans   6.   For the entire family to be covered. provide great flexibility to members in choosing a provider. Members have to pay heavy premiums and need to meet deductibles before they can start claiming benefits. the maximum amount. Indemnity insurance is not a good option. For people who cannot afford to spend large amounts on their healthcare. The coinsurance limit is $1000.4 Indemnity plans. It involves a lot of paperwork and is time consuming. rest the member will have to pay out of his pocket. i. a routine checkup is not covered. insurer will provide 100% reimbursement of costs.this means that. this freedom comes at a very high cost.Benefits ___________________________________________________________________  Filing of claims is the responsibility of the member. Managed care plans originated in the early 1970s.doc Ver 0. But. as explained earlier. this amount is $600.e. which the member may have to pay is $1000. They prefer to use managed care plans. A typical Indemnity plan will look like this - Plan Feature Calendar Year Deductible Family Limit Deductible Co-payment Coinsurance Coinsurance Limit Emergency Room Hospital Physicians Preventive care Other Covered Expenses  Benefit $200 3 * Deductible None 80%/20% $ 1000. Reduced benefits if not a true emergency 80%/20% 80%/20% No coverage 80% The member has to pay a deductible of $200 every year before he can start Table 1: A sample Indemnity plan claiming the benefits.00a Page 65 of 150 .Above this.00 80% if true emergency.

Members are also required to get permission (called a referral) from the insurer before availing services of outof-network providers. there is a group of providers contracted by the insurer who form a network. In return for this fee. Without this permission the member is not eligible to receive any benefits. A member has to choose any one of the doctors in this network as his PCP. He refers members to a specialist for medical care when necessary. even if not a single member went to this provider. The PCP will take care of all needs of the member.Benefits ___________________________________________________________________ In 1970s healthcare costs had sky rocketed. hospitals) that integrate the financing and delivery of health care services. Members of a HMO receive benefits by utilizing the insurer's HMO network. HMOs provide medical treatment on a prepaid basis. All the care they receive is provided by. regardless of how much medical care is needed in a given month. insurance companies are able to provide coverage at reduced levels of cost. Without the PCP’s referral. doctors. to make insurance more affordable to the common people. While. from office visits to hospitalization and surgery. members are not eligible to claim benefits for services availed from a specialist doctor. Individual Practice Association (IPA): In this form. Members do not have a choice in deciding which doctor they want to get treatment from. pharmacies. in 1973 the US congress passed the ‘Health Maintenance Act’ and set standards for the industry. as 65736839. MCOs’ are a collection of interdependent systems (the insurance company. by increasing the patient volumes and regulating the use of providers. This paved the way for the formation of ‘Managed Care Organizations’ (MCO). which means that HMO members pay a fixed monthly fee.4. These providers agree to provide basic healthcare services to members of the insurer’s plans. To recap. Members are required to choose a contracted doctor as their Primary Care Physician. the PCP will refer the members to a specialist. or under the direction of. Hence.00a Page 66 of 150 . most HMOs provide a wide variety of medical services. This network consists of contracted doctors and hospitals that provide treatment to members of the insurer's HMO plans.  Each provider is a given a fixed monthly fee according to the number of patients on his schedule. Thus.1 Health Maintenance Organization (HMO) A HMO is a managed care organization. the insurer tries to increase their patient volume by offering greater benefits to its members when they use this network. For services outside the scope of his expertise. This fee paid is also called the ‘Capitation Fee’ and hence the plan is sometimes known as a ‘Capitated Plan’. Following are the common managed care options: 6. the “PCP” The PCP takes care of the member’s medical needs that fall under his expertise. a HMO contracts with individual doctors who have a private practice of their own. he would still receive his full monthly fee). There are two types of HMOs  Staff Model HMO: In this form of HMO. right from providing treatment to filing claims on his behalf. the doctors are employees of the HMO itself and the HMO can be seen as a central medical facility. They involve an agreement between an insurance company and a group of providers (also known as network of providers).doc Ver 0. a “PCP”. This fee is not related to the number of patients actually serviced (this means.

members are responsible for paying a percentage of the bill every time they receive medical care. This leads to ‘Low out of pocket costs’. HMO members are required to obtain all treatment from HMO providers. there may be a deductible that must be met before the insurer starts picking up the tab.Benefits ___________________________________________________________________ the PCP and the insurer manage their complete healthcare. HMO members pay a fixed monthly fee.e. tight controls can make it more difficult to get specialized care.   Disadvantages:  An HMO member must choose a primary care physician (PCP). HMOs encourage members to seek medical treatment early. In contrast.The HMO will continue to cover his treatment as long as he is a member.doc Ver 0.00a Page 67 of 150 . before health problems become severe. Advantages  With most types of insurance (other than HMO). a provider not contracted by the insurer) without prior permission of the insurer. Members cannot use services of any out-of–network provider (i. many HMOs offer health education classes and discounted health club memberships.e.e. The PCP provides general medical care and must be consulted before members seek care from another physician or specialist. HMOs often have nominal copayments. Hence. there may be a strict definition of what constitutes an emergency. HMOs generally do not place a limit on the member’s lifetime benefits (i. The HMO will not pay for non-emergency care provided by a non-HMO provider. Additionally. Besides reducing out-of-pocket costs and paperwork. Instead of deductibles. Additionally. Additionally. but it can also lead to complications if the PCP doesn't provide the referral needed by the member i.  A typical HMO plan will look like this - Plan Feature Calendar Year Deductible Family Limit Deductible Co-payment Coinsurance Coinsurance Limit Emergency Room Hospital Benefit None None $10. regardless of how much medical care is needed in a given month. This screening process helps to reduce costs both for the HMO and the members. the focus is on wellness and preventative care.00 100% None $35.00 copay 100 % 65736839. the total amount of money he can claim during his lifetime) . Except for emergencies occurring outside the HMO's treatment area.

When a member receives care from a participating provider they receive benefits. which are at the lower level of benefit coverage. a preferred provider organization (PPO) is a managed healthcare system. and the member pays his or her co-payment amount. When members receive care from a non-participating provider they receive benefits. as PPO members are not required to seek care from PPO physicians. In order to avoid 65736839. the insurance company will pay 100% of the providers charges  If compared with the Indemnity plan provided in the earlier section. there are several important differences between HMOs and PPOs. it becomes clear that the cost for the member is much less. In some cases.00a Page 68 of 150 . 6. the provider may submit the bill directly to the insurance company for payment. PPO members usually pay for services as they are rendered. PPO physicians provide medical services at discounted rates and may set up utilization control programs to help reduce the cost of medical care.2 Preferred Provider Organization (PPO) Like an HMO. The PPO may be sponsored by a particular insurance company.  Every time he avails the service of a provider he has to pay $10 irrespective of the kind of services availed. there is a strong financial incentive to do so. The healthcare providers and the PPO sponsor(s) negotiate the price for each type of service in advance. he will have to pay $35 as $10. members may receive 90% reimbursement for care obtained from innetwork physicians but only 60% for out-of-network treatment. by one or more employers. known as ‘Non-Preferred Benefits’. which are at the higher level of benefit coverage. However.Benefits ___________________________________________________________________ Physicians Preventive care Other Covered Expenses Table 2: A sample HMO plan  A member who enrolls under this plan does not have any deductible to meet before he can claim benefits.  copay.4. usually 100% payment rate. usually 80% payment rate. In return. In case he has to use the emergency room facilities. However. The insurer then pays the covered amount directly to the healthcare provider. known as ‘Preferred Benefits’. or by some other type of organization.doc Ver 0. A PPO is actually a group of doctors and/or hospitals that provide medical services only to a specific group or association.00 copay 100%  For all kinds of treatment. The PPO sponsor (employer or insurance company) generally reimburses the member for the cost of the treatment minus any co-payment. For example. Advantages  Free choice of healthcare provider.00 copay $10. the sponsor(s) attempts to increase patient volume by creating an incentive for employees or policyholders to use the physicians and facilities within the PPO network.

00a Page 69 of 150 . Additionally. Hence. When a member uses the in-network benefits. the expenses and paperwork are higher as compared to HMOs. The plan can be visualized as having 2 sides. the POS plan mirrors an HMO.3 Point Of Service (POS) POS plans give two benefit levels.00 80%/20% Same as preferred if true emergency. Like an HMO. 80% / 20% 80% / 20% Preferred option closely mirrors the HMO option while the non-preferred option approaches the Indemnity option. if a member’s longtime family doctor is outside of the PPO network. he may choose to continue seeing him.  A typical PPO plan will look like this – Plan Feature Calendar Year Deductible Per Confinement deductible Family Limit Deductible Copay Coinsurance Coinsurance Limit Physicians Emergency room Hospital Other Covered Services Table 3: A sample PPO plan  Preferred Benefit None None None $10. else none. members may receive 90% reimbursement for care obtained from in-network providers but only 60% for treatment provided by out-of-network providers.4.00 copay $25. One side is for in-network services and the other side is for out-of-network services. but it will cost more. A PPO member has to file claims on his own. there is a strong financial incentive to use PPO network physicians.00 100% 100% Non-preferred Benefit $200.doc Ver 0. the member pays no deductible and usually only a minimal co-payment when he uses an in- 65736839. For example.00 3x deductible None 80% / 20% $1000. and members may be required to meet a deductible. Disadvantages  As mentioned previously.  6.00 office visit 100% None 100% after $10.Benefits ___________________________________________________________________ paying an additional 30% out of their own pockets. most PPOs have larger copayment amounts than HMOs. Thus. The benefits are reduced in case of non-preferred option.00 $200. most PPO members choose to receive their healthcare within the PPO network.

00 $200. In most cases. But. members always retain the right to seek care outside the network at a lower level of coverage. 80% / 20% 80% / 20% 65736839.00 80%/20% Same as preferred if true emergency. When he uses the out-of-network benefits. POS plan encourages members to use innetwork providers but does not make it mandatory. else none.  A typical POS plan will look like this – Plan Feature Calendar Year Deductible Per Confinement Deductible Family Limit Deductible Copay Coinsurance Coinsurance Limit Physicians Emergency room Hospital Other Covered Services Table 4: A sample POS plan In-Network None None None $10. the member’s child could continue to see his pediatrician who is not in the network. the POS plan is an indemnity plan. Like a PPO.00 3x deductible None 80% / 20% $1000. he can mix the types of care he receives. members pay only a nominal amount for in-network care. while there is no PCP for out-ofnetwork services. Usually. No deductible is required for in-network services. while the member himself receives his healthcare from in-network providers. The member will likely be subject to a deductible and co-payment. he also must choose a primary care physician who is responsible for all referrals within the POS network. As in an HMO.Benefits ___________________________________________________________________ network healthcare provider. Unlike HMO coverage. as with HMO coverage. members must choose a primary care physician (PCP) and hence there is a tight control to get specialized care within the network. co-payment is around $10 per treatment or office visit.00 100% 100% Out-of-network $200.00 copay $25. Advantages  POS coverage allows a member to increase his freedom of choice.00a Page 70 of 150 . members must have paid a specified deductible before coverage begins on out-of-network care.00 100% None 100% after $10.   Disadvantages  There are substantial co-payments and deductibles for out-of-network care. For example. As with HMO coverage.doc Ver 0.

Benefits ___________________________________________________________________  The POS plan is very similar to a PPO plan. Here.00a Page 71 of 150 . some insurers will offer an EPO/HMO plan. Exclusive Provider Organization (EPO)  6.doc Ver 0. The variation in the various plans can be understood more effectively by referring to the following table. providers. However. and the price is somewhat higher. this leads to less flexibility in choice of provider. and employers. Disadvantages  Members need to choose from the HMO and EPO networks. there is no such thing as ‘the best plan’.5 Which plan is the best? The first thing to note is that. Indemnity plans with more out-of-pocket charges (in the form of deductibles and co-payments) often limit the maximum amount of benefits that members may receive over their lifetime.4 In order to fulfill the diverse needs of participants. For example. which can be customized according to the members needs. The choice of providers is greater than the typical HMO. however. as there are no deductibles and very less copays. EPO Plans—a hybrid of POS plans were developed. 65736839. in general. as compared to the POS plan. The major difference between them is in the in-network option. Indemnity plans. also. with maximum benefits within network and reduced benefits out-of-network. These plans offer members great flexibility at the lowest price by combining various plans. the PPO plan gives more flexibility for choice of provider. This provides members with the ease and low cost of the HMO. 6. while providing them with the option to make appointments directly with a larger group of providers (instead of just their primary care provider). A PPO may also make an EPO option available to members.4. Advantages  Limited out-of-pocket expenses. give more freedom than managed care plans in terms of using the healthcare provider of choice. managed care plans are better suited for the average individual because they end up being more cost effective in the long run. In contrast. All the plans outlined till now are generic plans.

3. 4.5.doc Ver 0. he is probably better off with a managed care plan.Benefits ___________________________________________________________________ Constraint PCP Deductible Indemnity Not required Required HMO Required Not required PPO Not required (In-network) not required (Out-of-network) required POS Required Same PPO as EPO Required Not required Out Of Network Coverage Referral for specialist visit Cost (1-5) 5 is max Freedom (15) 5 is max. if his goal is maximum flexibility and cost is not a major factor. 1. Considering the cost for a member.00a Page 72 of 150 . 2. On the other hand.1 Exercise Plan offers the maximum freedom of choice for a member. Plot a graph of ‘cost to member’ (x axis) versus ‘freedom of choice’ (y axis) and place the various plans on it. 3. 5. indemnity plans should be preferred. PPO plan members do not have to choose a PCP (Y/N). Answers Indemnity HMO N Y Indemnity Freedom EPO HMO PPO POS 1. the choice ultimately depends on the member’s personal circumstances and preferences. 4. 5. 65736839. which plan is most effective? POS plans do not offer out-of-network coverage (Y/N). If the goal is to minimize costs. 2. Available Not available Required Available Available Not available Required Not required Not required Required 5 5 1 1 4 4 3 3 2 2 Table 5: Comparison of various plans So. 6.

Most of these plans in some or other will belong to the two main categories listed above. Regular dental checkups and cleaning will be sufficient to maintain dental health.6 Other Plans In addition to the common Indemnity and Managed care plans listed above. The regular dental visits allow problems to be diagnosed early and corrected without involved diagnostic testing or treatment.1 Vision Plans Vision insurance provides coverage for services relating to the care and treatment of eyes.00a Page 73 of 150 . and then file a claim for reimbursement. insurers offer a wide variety of specific plans. coverage may be even more narrowly limited to the medical treatment of certain eye conditions Vision care insurance may provide direct payment to the eye care provider for the services. 6. 65736839. Depending on the specific plan. The plans discussed till now were medical plans and did not cover:        Work related injuries Treatment provided by relatives Cosmetic surgery Government health services Vision benefits Dental benefits Over the counter medicines and non-prescription drugs To cover these. This keeps the cost of dental care much lower than medical care. The basic difference between a Medical and Dental disease is that a medical disease can be unpredictable and catastrophic while most dental diseases are preventable. With some employer-sponsored vision plans. insurers provide the following plans: 6. It depends on the specific plan.Benefits ___________________________________________________________________ Cost Figure 3: Variation of Freedom with Cost 6.6. Or the member may be required to cover the charges out-of-pocket at the time of service. Reasonable and customary charges generally don't include the cost of glasses and contact lenses. some or all of the following services may be covered:     Yearly eye exams Glasses (with an annual limit) Contact lenses and fitting (with an annual limit) Glaucoma screening Some vision plans may provide more extensive coverage (such as certain eye surgeries). while others may limit coverage to reasonable and customary charges incurred during routine eye exams.2 Dental Plans Dental insurance provides coverage for services relating to the care and treatment of teeth and gums. It typically covers services delivered by an optometrist or ophthalmologist.6. Dental plans are of three types based on the mode of treatment and payment.doc Ver 0.

while generic medications are in the lower tier and are least expensive .00a Page 74 of 150 . but often places no limit on services provided. A monthly premium is paid by the member. The plan may limit the amount of dollars a member can spend on dental care within a given year. Participating dentists receive a fixed monthly fee based on the number of patients assigned to the office. Non-Formulary drugs . the employer reimburses the employee a fixed percentage of the dental care costs. The typical three tiers of a pharmacy plans are 1. The member pays the dentist directly and.doc Ver 0. in conjunction with the dentist. but some have as many as seven. which directly reimburses the dentist for the services provided. which offers drugs to plan holders at reduced rates. Direct Reimbursement Plans: Under this self-funded plan.which are Non-patented compositions and are relatively cheaper.which are the cheapest. Generic Drugs . Insurance companies usually pay between 50 percent and 80 percent of the dentist's fee for covered services. Indemnity plans also can limit the amount of services covered within a given year and pay the dentist based on a variety of fee schedules. Pharmacy Plans    6. an employer or company sponsor pays for dental care with its own funds. In addition to premiums.The types of drugs can be classified as   Branded drugs – which are patented drugs (10 yrs patent) and hence costly. patient copays may be required for each visit. Brand-name drugs that are usually in the top tier are most expensive. Members can select a dentist of their choice and. Two tier plans  Lower copay for Generic drugs  Higher copay for Branded drugs 65736839. Capitation Plans: This type of plan provides comprehensive dental care to enrolled patients through designated provider dentists.3 Pharmacy plans enable the members to buy prescription drugs from participating or nonparticipating pharmacists at lower rates against a premium amount paid for the Plans. Most pharmacy plans that pay for prescription drug benefits have benefit tiers that group certain medications together for pricing purposes. the member pays the remaining. rather than paying premiums to an insurance company. They usually involve a ‘Managed Pharmacy Benefit Network’ (network of pharmacists which contracts with the Insurer). A Dental Health Maintenance Organization (DHMO similar to a medical HMO) is a common example of a capitation plan. Single tier plans  Fixed copay for all types of drugs mentioned in the plan. once furnished with a receipt showing payment and services received.6.Benefits ___________________________________________________________________ Indemnity Plans: This type of plan pays the dentist on a traditional fee-for-service basis. The dentist is paid on a per capita (per head) basis rather than for actual treatment provided. 2. can play an active role in planning a treatment that is most appropriate and affordable. drugs with same chemical  Most health plans have three or four pharmacy benefit tiers.

Benefits ___________________________________________________________________ 3. or psychiatric hospital.5 Medigap Medicare does not cover all health-care costs during retirement. has overall responsibility for administering the Medicare program. a division of the U. and nursing service s). people may be eligible if they are disabled or have endstage terminal disease.doc Ver 0. The Health Care Financing Administration (HCFA). All ten must cover certain services. Department of Health and Human Services. Medigap policies are sold through private insurance companies. or as an outpatient at a hospital or other health-care facility. Part A also covers hospice care and home health care. such as charges for the hospital room. and ambulance service. skilled nursing facility. medical savings accounts. Only ten standardized plans can be offered as Medigap plans. Most people become eligible for Medicare upon reaching age 65. Three tier plans  Lowest copay for Generic drugs  Medium copay for branded drugs  Highest copay for Non formulary drugs 6. 65736839. and private fee-forservice plans. they are standardized and regulated by federal and state law. Some also provide coverage for deductibles and services that are not covered by Medicare such as prescription drugs and preventive care. Although the Social Security Administration processes Medicare applications and claims. Members may purchase a supplemental medical insurance policy called Medigap.00a Page 75 of 150 . However. Medicare Part C (Medicare+Choice) is a program that allows members to choose from several types of health-care plans:  Part A covers services associated with inpatient hospital care (i..6.Medicare Part A (hospital insurance) and Medicare Part B (medical insurance).  Part B covers other medical care. Physician care. In addition.6. Also covered are laboratory tests.4 Medicare Plans Medicare is a government-sponsored program that provides health insurance to retired individuals. Medicare coinsurance amounts. Medigap is specifically designed to fill some of the gaps in Medicare coverage. whether it was received while member was an inpatient at a hospital. meals. at a doctor's office.S. physical therapy or rehabilitation services. Medicare coverage consists of two main parts . if not all. regardless of their medical condition.e. They are in addition to the fee-for-service options available under Medicare Parts A and B. A third part. 6. There is no variation in the types of medigap policies provided by various insurance companies. the HCFA sets standards and policies. the costs associated with an overnight stay in a hospital.  Part C expands the kinds of private health-care plans that may offer Medicare benefits to include managed care plans. Medigap policies pay most.

which pay for hospital bills and doctor visits. 6. which is usually very high. As with other insurance policies. They pay hospital and medical expenses above a certain deductible. or blind individuals (or to needy.7 Long Term Care Most of plans discussed till now are the kind. and (4) oversees its own program. prescribed drugs. Most of the plans seen till now can be customized to include coverage for catastrophic illnesses. and types of services. each state (1) determines its own eligibility requirements. including hospital bills. dependent children) who cannot afford the necessary medical care. medical transportation. Long-term care. (3) chooses the rate of reimbursement for services. adult day care. services for the mentally retarded in intermediate care facilities.00a Page 76 of 150 . occupational therapy.6. The funds paid are not specified for medical expenses . Recovery benefits that pay after members return to work full-time. and speech therapy. Employers can provide coverage for employees too. The treatments covered by long term care insurance usually include four general types of care: in home care. States may elect to provide other services for which federal matching funds are available.doc Ver 0. Medicaid pays for a number of medical costs. offers the assistance people need if they have a chronic illness or disability that leaves them unable to care for themselves.Benefits ___________________________________________________________________ 6.8 Disability Income Insurance Disability income insurance provides members with an income if they become sick or injured and are unable to work. It is a joint federalstate program to provide medical assistance to aged. 65736839. and are reestablishing a customer or client base.6. optometrist services and eyeglasses.6. Some of the most frequently covered optional services are clinic services. and long-term nursing home care. (2) prescribes the amount. physician services. 6. Some policies include special features like:    Key-person insurance to protect a firm against the loss of income resulting from the disability of a key employee. prosthetic devices.9 Catastrophic Coverage Plans Catastrophic coverage is not a separate entity by itself but forms a part of an existing plan. This may be used to help the aged. Within these guidelines. However the maximum lifetime limit of benefits is high enough to cover the cost of catastrophic illness. home health care. members pay a set premium that offsets the risk of a much larger out-of-pocket expense.they can be used in any way the member wishes them to use. however. as well as young and middle-aged people who have been injured or have suffered a debilitating illness. disabled. Each state administers its own Medicaid programs based on broad federal guidelines and regulations. 6. assisted living and nursing home living. a disability buy-out policy disburses funds for one partner or business entity to buy a disabled partner's share of the company. For jointly owned businesses.6 Medicaid Medicaid is a health insurance program for people with low income.6. duration.

3 (hospital.Benefits ___________________________________________________________________ The most common example is the Medicare plans which include a clause for catastrophic coverage. Individual insurance is somewhat more risky for insurers than group insurance. Unlike group insurance. 6. Long Term care covers nursing home care? (Y/N) Who all are eligible for Medicaid benefits? 1. all eligible people can be covered by a group policy regardless of age or physical condition. Answers 1. The policy is typically negotiated between the insurer and the "master" policy owner (employer or association) without any inputs from 65736839. because group insurance allows the insurer to spread the risk over a larger number of people. Individual health insurance is a type of policy that covers the medical expenses of only one person. When they apply for individual insurance. All people who cannot afford medical care. a single policy covers the medical expenses of many different people (a group) instead of covering just one person. 4. 7. Because only one policy is issued for the entire group.6. 5. 3 2. Employer-sponsored plans and associations are among the most common sources of group health insurance. individual insurance is generally more difficult to obtain and more costly than group insurance. 3. Medicare has parts. plans are similar to HMO plans The federal government regulates Medicare benefits? (Y/N). Policy extends the Medicare policy by offering additional benefits. Others include disability income insurance. In general.7 Individual Insurance and Group Insurance. with the sponsoring employer or association paying all or part of the premium. members purchase individual insurance directly from an insurance company. The premium for group insurance is calculated based on characteristics of the group as a whole. such as average age and degree of occupational hazard. Is used to protect a firm against the loss of income resulting from the disability of a key employee.00a Page 77 of 150 . Y 8. In case of Dental insurance. Capitation 6. 6. 6. the initial cost of establishing group coverage is lower than the cost of issuing a separate policy to each person. For this reason. catastrophic PPO and catastrophic EPO coverage. Y 7. medicare+choice) 3.doc Ver 0. Key person insurance 5. 2. Member’s risk potential will determine whether he qualifies for insurance and how much the insurance will cost. This is generally done through a series of medical questions and/or a physical exam. medical. Medigap 4. With group health insurance. they are evaluated in terms of how much risk they present to the insurance company. 8. the only real disadvantage of group insurance is limited or no freedom to customize the policy to member’s individual needs. Unlike individual insurance. where each person's risk potential is evaluated and used to determine insurability.10 Exercise Pharmacy plans usually have tiers of benefits.

65736839.8. 6.1 Consolidated Omnibus Budget Reconciliation Act of 1986 (COBRA) If a person and his dependents are covered by an employer-sponsored health insurance plan.S. These events can occur when least expected. if his employment has been terminated or if his work hours have been reduced. his employer is not required to pay any part of it. COBRA entitles him to continue coverage under circumstances that would otherwise cause him to lose this benefit.A. If a person is entitled to COBRA coverage for other qualifying reasons. In addition. Most employers are required to offer COBRA coverage.doc Ver 0.  Increase the tax deductibility of medical insurance premiums for the selfemployed. In 1996. leaving them without health benefits.2 Health Insurance Portability and Accountability Act (HIPAA) HIPAA is an extensive law that is intended to be the first major step toward healthcare reforms in the U. the person will have to pay the premium for COBRA coverage.A count on their employer for health insurance coverage. But what will happen to their health insurance if they stop working or no longer qualify for benefits? Their company might begin downsizing.S.8. he can continue the coverage for 36 months. the Health Insurance Portability and Accountability Act (HIPAA) expanded on COBRA. 6.  Require health insurance plans to provide inpatient coverage for a mother and newborn infant for at least 48 hours after a normal birth or 96 hours after a cesarean section. he is entitled to COBRA coverage only if his employment has been terminated or downsized.00a Page 78 of 150 .Benefits ___________________________________________________________________ the member. The two most important of these are – 6. or in certain other situations. his dependents may be eligible for COBRA benefits if they are no longer entitled to employer-sponsored benefits due to divorce.  Require health insurance companies that serve small groups (2-50 employees) to accept every small employer that applies for coverage. as are the deductible amount and co-payment percentage. A person can continue his health insurance for 18 months under COBRA. As an employee. They could suffer a serious injury and become disabled. death. The major provisions of HIPAA do the following:  Allow workers to move from one employer to another without fear of losing group health insurance. However. The specific policy provisions are all determined in advance. So the federal government has provided certain laws to help people cope with the situations mentioned above.8 Laws and Legislations Most people in U.

  Medicaid policy is the most expensive type of Indemnity plan. Copay is what the member pays to the insurance company for treatment.9 1.  Review Questions.yourhealthplans. 4. in case. “Managed Care – An Overview ” – By Amit Shukla. What is the difference between Managed care and Indemnity Plans? What are the various type of Managed care Plans? What is the main difference between POS and PPO plans? What are the various types of Dental and Vision Plans? In case of managed care plans. 6. 2. 6.  In case of a joint business venture. each partner can take out an insurance policy to cover the expenses.doc Ver 0. 65736839. 4.com 3. the other partner is no longer able to perform his duties.insurance. which plan is most cost effective and why? State whether true of false – Private insurance companies provide Medicare plans. http://www.   Deductible is usually zero for most HMO plans. 3.  Coinsurance is the insurance provided by two insurance companies to one individual.Benefits ___________________________________________________________________ 6. Abhishek Virginkar and Saurabh Kulkarni. 2. “A to Z of Health Insurance” – By Prashant Burse. 5.00a Page 79 of 150 .com http://www.10 References 1. Long-term care is covered under Medicare.

doc Ver 0.00a Page 80 of 150 .Benefits ___________________________________________________________________ 65736839.

Manual intervention is required for further processing such claims. They do not bill Insurance Company for services provided. Paper claims are received on standard forms. Claims that fail the edits are routed back to the provider for corrections. specialist. The referral acts as an authorization for the member to visit a specialist. The claims are received by the Integrated Receipt system. this process is known as HMO REFORMAT. They are scanned to capture image copies that are then translated to electronic form. Receipts system performs basic edits on these claims and loads it to the Claims database. Edits within the pre-receipts system are enhanced to include HMO claims. The users have the ability to modify the claims online. Electronic forms are routed through a third party (Envoy). This PCP files a claim with Insurance Company for non-capitated or specialist services he might have provided to the member. Claims Online/Pend systems are used for this purpose. The HMO Reformat will be responsible for reading a CCFMQ record 65736839.VII 7 Claims 7. are put in a ‘PEND’ status. These claims are then adjudicated using Insurance Company’s business rules and policies. hospital or pharmacy to receive healthcare. desired cheques are cut by AP (Accounts Payable). On completion of claims adjudication. This means that they get a fixed fee on a monthly or bi-monthly basis. Feedback is sent to Claims system again which is used to store the completed claims history in Claims database/files. This specific combination depends on plan to which the member has subscribed. The UCK is passed along with each transaction to the appropriate adjudication engine.00a Page 81 of 150 . for a combination of fixed number of visits and fixed duration. who are Primary Care Physicians and are Capitated Providers.1 Claims Intake Process Claims are received from health services providers either as paper documents or in electronic form. validated for basic information necessary and then loaded into the Claims database. to decide the payment to be made to providers or denials if any. The Receipts system is required to receive a transaction in CCFMQ format. Each visit that a member makes to a provider is called an encounter. also claims with any missing information.Claims ___________________________________________________________________ UNIT .doc Ver 0.1. Generally these visits by member are made to PCPs. 7. The claim may be filed either on a standard paper form or electronically. If the primary physician deems fit he may refer the member to a specialist. All HMO electronic claims from the Envoy submitter will be directed to a system (pre-receipts) before sending them to core Receipts System. This pre-receipts system will identify each claim with a Universal Claim Key (UCK). The claims will be in a Common Claim Format (CCF) as opposed to the UB92 & NSF format that Receipts system used to receive. A record of this referral is maintained in the system.1 Claim generation and submission to Providers Members enrolled in Insurance Company’s healthcare programs visit health services providers such as a primary physician. Complex or ambiguous claims. as well as for catering to general claims enquiries.

The Load is responsible for passing the UCK to the HMO Adjudication system. Each benefit code represents a detail line. When Hospital claims are processed Revenue codes are grouped and rolled and then translated into Benefit codes. The Conversion process handles Hospital and Specialist claims differently. The generation of a status response is required to be sent back to Pre-receipts system at this point.Claims ___________________________________________________________________ as input and produce a UB92 Hospital transaction format or a NSF1500 Specialist transaction format as output. At the completion of all Receipts system edits. This process will evaluate each edit flag. modifications are made to establish the UCK segment number.doc Check Information CLAIMS SYSTEM Ver 0. directly into the Claims Online Adjudication system. claims that have more than a specific number of detail lines after the grouping and rollup logic will be split in segments consisting of that specific number of detail lines. The modifications consist of inquiring on the UCK database table or file and generation of the event response for pre-Receipts system. Users enter these claims online.1. If a claim is split in the Conversion. These claim forms are captured on microfilm. This response status serves as the initial response for all HMO claims. claims will flow into the Generate Response process. Due to limitations of the HMO Adjudication. subject to existing Receipts system edits. Encounter PROVIDER MEMBER EDI Claim 7. The last process within the Receipt System is the Load to the HMO database. The newly reformatted claims will follow the existing Receipts system path for electronic claims. Receipts system Conversion. Some paper claims cannot be loaded into Receipt System usually due to non-standard formats.00a DENIALS Page 82 of 150 ACCOUNTS PAYABLE Check to Provider/ Member . The response for claims that have been rejected also represents a final response. The Reformat will also be responsible for passing the UCK along to the HMO system on each transaction. in order to determine if a claim will be Accepted or Rejected.2 ENVOY Claims Intake : DiagrammaticIKFI Paper Claim EDI Referral Prereceipts REFERRAL SYSTEM Receipts Verification 65736839.

DOS > suspense or term date). o Member no is validated.e. o Determination of whether member is suspended or terminated ( i. Determine if the claim is timely filed    65736839. Determination of whether the claim is too old.Claims ___________________________________________________________________ 7. o Provider no is validated. o Provider type is evaluated i.Capitation of the Provider is validated .e if the provider is hospital type or a specialist etc. o Determination of whether this claim is a fraudulent specific member claim.00a Page 83 of 150 . o Check is done for whether Provider is suspended.1  Claim Preparation and determining eligibility The member information is validated.2. The provider information is validated.2 Claim Adjudication Process Claim adjudication is a process in which the actual data on the Claim is compared with the data in the system and based on the business rules or policies the payment of the Claim is decided.doc Ver 0. o Provider name and address is validated. o Par status of Provider is validated . The paid amount need not be equal to the billed amount Claim adjudication process can be divided into three processes as below which can be further subdivided 7. o Date of Service of the Claim is compared with the current date. o Provider Specialty is validated .

Place of service is checked with a history claim for determining duplicity. CONTRACT.  Determination of whether the claim is duplicate ( by comparing with history). Group. provider specialty . it is determined if the member is eligible to receive the particular benefit for which claim has been filed.    Product benefit eligibility is checked  Here.This process will dictate what component leg a claim is adjudicated against based on the following scenarios:  No accumulator is maxed out on either indemnity or hmo legs Result: Claim will process as normal  Accumulator maxed out on indemnity but not hmo leg Result: claim will be processed as hmo  Accumulator maxed out on hmo leg Result: claim will be processed as indemnity. any exception override is checked on various factors like service start and end dates . o Here a determination is made whether the member has to be directly reimbursed ( like in Indemnity Claims) or the provider ahs to be paid ( like an HMO plan). PLAN. o Here the Date of service of the claim.member category etc .00a Page 84 of 150 .  Direct access ( i.  Check for Product component eligibility  Here it is decided if the claim should be processed as in network or indemnity depending on  Product component of the Claim. depending on the member region. Place of service and the benefit code of the claim .Claims ___________________________________________________________________ o Date of service of the Claim is compared with the received date of the Claim. procedure code . it is determined if the member is eligible for the benefit of the product under which the member is covered.   Determination of whether this is a member reimbursement or provider is already reimbursed. based service. Place of Provider network.doc Ver 0.  Provider network.e for which no authorization needed).  Check stacked benefits o This involves checking of existing accumulators that are under the indemnity component and then under either the rider or base medical component.Area . Also a 65736839. and presence of any rider . AND PRODUCT which for which the Claim has has been filed Benefit eligibility is checked o Here depending on the Provider type. if the claim has not been file within the proper timeframe it is denied . o Determination of whether the member is covered under the GROUP.  Claim emergency or non emergency.  Par status of provider.types of benefits provided. proc code . Group/plan eligibility is checked. etc it is determined if there is to the benefits payable for the product for which claim is filed. Provider no . The difference of the dates is compared with the timely filing limits which is predecided based on different types of Provider. diagnosis code.  Presence/Absence of referral. member no . Product exception o In this.

Claims ___________________________________________________________________
this involves a check to see if provider has already been reimbursed for the services e.g – capitated providers  Verify Referral o Is member no on referral same as on claim ? o Is this Direct access referral ? o Is referral OON ? o Is referral denied ? o Validate provider no on referral and provider speciality. o Validate referral dates o Validate referral visit o Validate referral diagnosis o Validate referral procedure Verify precertification : Precertification is the process of collecting information prior to inpatient admissions and performance of selected ambulatory procedures, and services. The process permits advance eligibility verification, determination of coverage, and communication with the physician and/or member. It also allows the health care service company to coordinate the patient’s transition from the inpatient setting to the next level of care (discharge planning), or to register patients for specialized programs like disease management, case management, or our prenatal program. A pre-cert penalty will be applied to the claim when: o The claim is non-referred, and o The service requires pre-certification, and o A "PS" pre-cert referral or authorization is not found All three conditions must be met before the pre-cert penalty can be charged. This applies to both par and non-par providers. The percentage pre-cert penalty is assessed on the payable benefit, after any deductible and co-insurance have been taken. Pre system is not applied generally for the following types of services: o Cardiac Rehab o Chemotherapy o Radiation Therapy o Respiratory Therapy Who precertifies medical services? o admitting physicians o primary care physicians (PCP) o specialists o hospitals o Members on plans that allow out-of-network benefits must precertify certain services themselves and failure to do so will result in a reduction of the benefit paid. Where precert and referral are not required, only refers to participating providers. Any non-par usage requires authorization by patient management on order to obtain HMO benefits.

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Claims ___________________________________________________________________
 Diagnosis code of the claim is verified i.e whether the diagnosis is effective for DOS of the claim. Drug code (drg) is validated Procedure/service code is validated . It also involves verification of service code for sensitivity ( i.e sex restriction for a particular procedure) Claimcheck Any claims system needs to do have the following checks either through interface to the HBOC/GMIS Claim Check software package or by other means which performs the following edits: o Unbundling-the use of two or more CPT procedure codes to describe a procedure performed in a single session when one comprehensive code exists. o Incidental Procedures-one or more procedures performed concurrently with a primary procedure, but which require little additional physician resources and/or is clinically integral to the performance of the primary procedure. o Mutually Exclusive Procedures-two or more procedures that by medical practice standards should not be billed on the same patient on the same date of service. o Age/Sex discrepancies and cosmetic and duplicate procedures. Determine payment

 

7.2.2

Following are the processes that affect the amount and extent of payment of a Claim.  Prorated maternity o Determine maternity pct i.e for a female member joining during pregnancy,the system will automatically prorate the claim as follows based on her effective date with the health care company e.g . Date of Delivery 1-30 days after member became effective 31-61 days after member became effective 62-91 days after member became effective 92 days or more after member became effective  % of Reimbursement 70% 80% 90% 100%

Contract interface o Contract is an agreement between the provider or group of providers and the insurance company about the services the provider(s) will provide and the payment that the insurance company will make to the provider for the services rendered. o Providers are generally contracted to provide services for specific benefit codes, Diagnosis codes, Procedure codes.The Payment method used in for paying of Contracted provider is based on Flat rate,Per unit rate , Rating system. Balance bill processing o Balance billing occurs when a doctor or other health care provider charges the patient more than the maximum allowable charge (the amount paid by the healthcare company for the health care services provided by the provider.) o Providers who balance bill can charge approx upto 15% over the maximum allowable charge and this must be paid in addition to the Prime copayment, or extra and Standard deductible and cost-share. o Balance billing fees can only be charged by non-participating providers. Facility fee processing if applicable

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Claims ___________________________________________________________________
o This fee is applicable if the member receives the health care in a facility . It checks for place of service , start and end of the service and presence of any contract of the Facility with the Healthcare company in determining the facility fee .

Product exception override o If it is determined that there is a product exception overide then then various overrides and their values are determined like Copay ,deductible, counsurance , precert penalty etc which are applicable to the claim. Copay processing interface o Copay is the amount payable by the member i.e. it is the member’s responsibility. It is some fixed part of the claimed amount that the member has to pay for the diagnosis or treatment he has undergone. o There are different types of copays like per stay, per day, per visit etc. o In the member’s contract there is also mentioned about the maximum amount of copay for the member and the family for the particular procedure code that is to be paid. o Copay based on no. of days is also dependent on the number of days of stay. It is in ranges. For Ex : Copay has one value for first five days, another for next fifteen days & another for the rest. o Copay can also be zero. Accumulators o Claim that have been denied or contain a benefit that is not covered or that do not have an accumulator are deemed exempt from the accumulator processing. The possible product components are checked. If the indemnity component has been valued, the process will use this component first .All the accumulators that have been defined under the product benefit are retrieved. Once an accumulator is retrieved, the following are checked:  The accumulator must be effective.  There are age requirements set up within this accumulator. The members age is checked against these parameteres. o Accumulators are used to track Individual member out of pocket payments as well as family amounts. o There are various types of accumulators which are used for tracking Copay, Deductible, Coinsurance, Precertification amounts, visits, etc of the member. o The accumulator year to date amounts are compared with the pre-decided limits of these amounts and the payment amount of the claim is adjusted accordingly. Indemnity processing if applicable o Indemnity processing comes into picture if the claim is not a emergency or does not have a referral . Here the claim is processed as fee-for-service or out of network claim.It calculates various payements pertaining to indemnity claims like deductible,coinsurance,precert penalty,out of pocket payments etc . It determines the various amounts that can be applied according to the member and the family limits ( referring to amounts already taken in previous claims) . Coordination of Benefits o Coordination of benefits (COB) allows insurance carriers to offset payments when a claimant carries insurance with multiple carriers. For example, a claimant may have dental insurance with AUSHC and with Blue Cross/Blue Shield. The dental claim is submitted first to the primary payor (in this example, AUSHC), which pays as the plan allows. The claim is then submitted to the secondary payor (Blue

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they will:  Notify the provider that they have discovered that another insurer is the primary carrier. Claims database updates o Processed Claims stored for maintaining History.Claims ___________________________________________________________________ Cross/Blue Shield).3  Update Claim Accumulator updates o This involves updating of Various accumulators for Copay .2. If. a.4  Claim adjudication outputs Check extract o Adjudicated claims that are passed to Accounts payable for check printing. deductible . o o 7. thereby giving him/her an opportunity to seek reimbursement from the member’s primary insurer. the process followed is . Healthcare company discovers that another insurer is the primary carrier. Reporting o A host of reports to provide summary and detail information and statistics Claims History o Claims history records generated and used for future Claims adjudication and used for reporting and financial reconciliation of Self-Insured groups.00a Page 88 of 150 .doc Ver 0. o Denial letters are sent if :  other insurance paid in full  experimental procedure not covered  Cosmetic surgery not covered    65736839.  Inform the provider that he/she can write or call the person signing the notification if there is additional information that would alter the proposed process. Letters o Letters are sent to the member and/or provider giving information as to why :  A claim was denied  A claim is delayed  Is still Under review  Waiting for Additional information  Extra Payment done . Referral updates o Referrals are updated for no of visits after the claim has been processed properly.Penalties etc that a Healthcare company liable to pay in certain cases  Any Other Information required . after a provider has been paid.2.   7.  Provide the name and address of the primary carrier and the patient’s name and address and any other pertinent information.  Inform the provider that he/she can return their previous payment or elect to have them debit his/her account after 60 days. coinsurance etc depending upon the processing of the claim. The insurance industry has established standard rules to determine which insurer is primary payor. This provision prevents double or over-payment by the carriers.

no change Explanation of benefits – (covered in other section) 65736839.Claims ___________________________________________________________________   Decision re-reviewed.00a Page 89 of 150 .doc Ver 0.

00a Page 90 of 150 .Claims ___________________________________________________________________ ADJUDICATION CLAIM PREPARATION AND ELIGIBILITY DETERMINE PAYMENT CLAIM UPDATION CLAIM OUTPUTS Validate member no Validate provider no Maternity percent Contracts Referral updates Accumulator updates Check extract Reports Is Claim too Old ? Is Claim timely filed ? Indemnity processing Product exception override Facility fee Claim history Letters Is Claim duplicate ? Group/Plan eligibilty Product component eligibilty Product exception override Copay processing Benefit eligibility Product bebefit eligibility Check Stacked benefits Memb reimburseme nt /Prov reimburseme nt ? Verify precert Coordination of benefits Accumulator processing Verify referral Veryify Diagnosis code Verify Proc code Figure 2 : Claim adjudication process Validate drug code Claim check 65736839.doc Ver 0.

1. Otherwise claims without proper referral get denied. This incentive to be paid is decided as fixed % of the contractual amount between Insurance company and the provider.3. Over a specific period of time.1.1 Capitated Provider If provider is a Capitated Provider. Once the service is provided to a member. these amounts are then adjusted during adjudication against the claims filed by provider.1.6 Provision for Advance Payment Some insurance companys also have a facility to pay the providers some lumpsum amount in advance. the physicians fill in the data such as quality of operating rooms. a survey is conducted where in the member fills in a form to comment about the quality of service provided by the hospital. both with a few exception. Mostly all the In-patient type of services and none of the Out-patient type of services are eligible for this incentive. Hospitals send the survey results to Insurance company. These routines (which are black box to the insurance company’s system). These claims then are taken through claim adjudication process to decide how much amount should be paid to the member or the claim should get denied. then claim gets adjudicated against Insurance Company’s business policies and rules as imposed by federal/state laws.00a Page 91 of 150 .3. It becomes mandatory to identify all the types of services that will become eligible for consideration under quality incentive.  Efficiency of Care 65736839. based on some algorithms.1. 7. provider has tendency to file the same claim again.5 Duplicate Claims In case of late payments by insurance company. If the provider is non-capitated. Principle categories for this payment are as follow:  Quality of Care It measures the quality of care based on physician and member surveys. assign points / marks. which should be covering the visit and specific services for the member.3. which means he gets a fixed fee by Insurance Company on monthly basis irrespective of actual services provided by the provider during the period under consideration.7 Provision for Advance Payment Some providers. 7. 7.3 7.3. Higher these points.3. then the claims filed would require specific referral already in place. 7.3 Copay Adjustments If the claim filed required member to pay some copay amount. then the insurance company will pay the provider adjudicated amount less the copay amount as described by member’s plan. He has to file claims with all the involved insurance companies. 7.3.Claims ___________________________________________________________________ 7. then provider receives payment from primary and secondary insurance companies.2 Provider as Specialist If a provider is giving services to member as a Specialist. This data is then passed through ‘United States Quality Algorithms (USQA)’ routines. would come in the form of claims filed by the providers. Procedures are in place which detect such duplicate claims and avoid the repayments.3.1.1 Claim Payments Provider Payments Inputs for any provider payment. these providers will file claim for the services rendered to the member. in most of the general scenarios. the higher will be the incentive.4 COB Adjustments If Coordination of benefit applies for any member. then all his claims are bound to get denied if filed for services covered under capitation.3. 7. are paid extra for the quality of services they provide.doc Ver 0. In the physician surveys. When members have encounters with provider.1. 7. especially the big providers like Hospitals. administration in the hospital etc.1.

00a Page 92 of 150 . insurance company intimates provider of the extra payment made and provider is required to repay to the company accordingly. Also.  Commitment to Managed Care Principles The negotiators have the providers fill in a questionnaire that contains the questions such as: o if the provider sends the data to Insurance Company electronically o if there exists long term contract between hospital and Insurance Company o if nurses from the hospital participate in training programs conducted by Insurance Company The provider has to fill in either Yes or No to each of these questions.2 Member Re-imbursement Following are various scenarios when member is eligible for re-imbursement by The Insurance Company. system assigns points. adverse events and C-section rates. Based on the answers. 65736839. whether denied or paid.doc Ver 0. 7. the provider is informed by the Insurance Company regarding the reasons and split of payments. Higher the points.2 Member goes Out-Of-Network If member visits a provider out of network then he has to file a claim for the benefits provided under his plan. Under such circumstances. So.3. points are assigned and based on the points.2. lower will be the payments as it is hospital’s responsibility to see that fewer adverse events arise. the payment is made. then higher will be the costs that hospital incurs and hence the claim amount.2. as defined in the plan adopted by member.8 Payment to Insurance Company It may happen that provider claims are incorrectly adjudicated and provider is overpaid.3.2. If a member spends more time in hospital for a service.1 Copay Limit Reached If member has already reached the copay limit mentioned on his plan and in the next encounter he still pays the copay. then the insurance company will reimburse all the amount paid towards copay back to member. a fixed % of adjudicated claim amount is paid back to the member. lower will be the payments. 7. through USQA routines. the lesser will be the incentives paid. 7.4 Claim Adjustments These are the various types of adjustments that can be made to the claim.4 Co-insurance Applies In this case.3. 7. For this category: higher the points. When provider’s claim is adjudicated. If the member has not reached the Deductible limit. longer the stay. 7. In this case insurance company pays directly to member.3. higher will be the payments. part or full payment made by him to provider. 7.2. 7. For each of these measures.3 Deductible Applies Member pays to the provider Out-of-Network and files a claim with the Insurance company. medicine and OB/GYN.3. higher the adverse conditions.Claims ___________________________________________________________________ It measures the efficiency of the care based on length of stay for surgery. then Insurance Company will then deny such a claim.3.1.

The claim does not undergo adjudication. cash date for check is recorded and necessary deductions are applied to claim.4. Provider over-payment letter is generated one claim per letter. The manual check request paperwork is then sent to Claims system. Such a check is created by entering data into the system manually. New negative claims created with negative dollar amount. On receipt of the manual check paperwork a Manual claim is entered. The check status is also changed from open (blank) to Void (V). there has to be a claim for which a check is created. 7. Deduction may be split across multiple claims.doc Ver 0. i. When void is done then a new set of claims are generated which are associated with the same check with negative amounts as the original claims.1 Refund Adjustment This type of adjustment takes place when a Health Services Provider overpays the provider.Claims ___________________________________________________________________ 7. The check status is changed from open (blank) to Stopped (S). 7.00a Page 93 of 150 . A connection is established between the manual check and the claim entered. A new set of claims are generated which have amount equal to negative of the amounts of the original claims. If provider does not agree to cut and send check to refund over-payment. Original completed claim remains unchanged. Only in this scenario a stop can be issued on the check.e. 65736839.4. when stop payment is done.4. minus debit option is used to create an equal amount negative check. The original claims are overridden with new payment codes. the original claims remain untouched. 7.4.4 Void Adjustment The Claim is completed but the check is still in open status (Check information has still not been sent to the bank) only in this scenario a void can be issued on the check. 7.5 Stop Adjustment The Claim is completed but the check is still open (check information has been sent to the bank but not been encashed yet). It is completed and stored. Claim gets completed without adjudication. In the process. When provider agrees and refunds over-payment (provider will cut check and send in).2 Minus Debit Adjustment In case of overpayment to providers. a letter is sent to the provider notifying of over-payment. Further claims of the provider are not paid till the all the amount on the negative claim has been recovered. Once the whole dollar amount is adjusted the process stops and all the claims get completed and letter is sent to the provider stating why payment has not been made to him. This is to account for the payment being made using the manual check.3 Manual Check Adjustment Sometimes a check is required to be created manually if there is a need to adjust amount of payment.4.

Government reporting is needed in a Healthcare industry especially for those plans that are funded by the government.5 Government reporting There are two types of government-sponsored plans in U. Federal-State health insurance program for certain low-income and needy people. it still doesn’t form a significant portion in the payment model. the nation's largest health Insurance program. With this model there is not a very stringent need for the healthcare company to report all of its encounters correctly to the government. blind. If a Health care company has Medicare and Medicaid as the two sponsored programs. The score calculation and the payments are made on an annual basis. Health care company reports the claims that have been filed by the providers to the government.S.doc Ver 0. Depending on the diagnosis that has been performed on a particular claim. then government assigns a score of 04 (which is the least PIP SCORE) to this member and Health Care Company would be paid at a flat rate for this member. the risk adjustment model emerged. If a person has not visited a hospital during the entire year. and people who are eligible to receive federally assisted income maintenance payments. earlier the government used to pay the health care companies a flat rate per member. a government body administers Medicare. Medicare provides health insurance to people aged 65 and over and those who have permanent kidney failure and people with certain disabilities. Citizens.Medicaid is a jointly funded.          65736839. The scores for AIDS/Chemotherapy are the highest. Although the risk adjustment model has come up. the aged. For Medicare encounters.Claims ___________________________________________________________________ 7. the healthcare company would still get paid for that member.00a Page 94 of 150 . meaning that all the claims belonging to this category that Health care company sends to the government would mean an additional revenue to Health care company from the government. But there’s a gradual increase in its share. Hence now it was important for the health care company to report each and every claim that it received. But sometime around the end of 2000. This is the reason why government reporting is important for a Healthcare industry. Since the number of encounters and the particular diagnosis that was performed had very less significance in the payments that were made. to the government. Meaning that now the government would also consider the health of the member when it makes a payment for that member to the health care company. the Federal government sponsors Medicare while the Medicaid plans are specific to the particular state. it needs to report all of its encounters (visit of a member to the provider or health care) to the government. and/or disabled. it would still get the same flat rate from the government. which covers 37 million U. And similarly no matter how much money the health care company spends on a person who was a frequent visitor to the hospital. Medicaid . This is where Encounter data reporting started coming into picture. the government assigns a severity code (PIP SCORE) to the particular member.S  Medicare Health Care Financing Administration (HCFA). It covers approximately 36 million individuals including children. It means that no matter a person visited a hospital or not. Thus.

     The The The The The charges for which the provider has billed the Health Insurance company charges whcih are for services covered by Group Benefits charges that the member must pay to meet his/her deductible amount the Healthcare Insurance company paid amount that the member owes The EOB for the National Advantage Program lists:  billed charges  allowable amount  non-covered amount Some health insurance companies may prefer to generate EOB only for certain type of services e.7 7. The encounters have to be submitted in a fixed format called the Uniform Billing Code1992 form. dedicated to accumulating specific type of data over a specific period. In case of multiple MC (primary and secondary) the primary MC coordinates the benefits between the two MC and sends a COB (Coordination of benefits) to the member. It also gives the cap amounts applicable to him. Medicare submissions are sent to CMS (Center for Medicare and Medicaid services). When requesting payment from a secondary payer it is extremely important that the EOB/remittance information be provided from the primary payer. 65736839. It is not a bill but an explanation of the benefits.00a Page 95 of 150 . While the Medicaid submissions go directly to the state.g. etc are applicable and not for all type of claims.  Explanation of Benefits (EOB) EOB is the letter sent to a member by the Insurance company giving the details of the services rendered to him by the providers and the amount to be borne by the member for the services he has taken.6 Claims accepted.7. The Explanation of Benefits provides members a statement of claim payments. coinsurance. for indemnity or fee for service claim where deductible.doc Ver 0. 7.Claims ___________________________________________________________________  Balanced Budget Act of 1997 mandates all healthcare organizations to electronically transmit Medicare hospital inpatient encounters to Healthcare Financing Administration through a fiscal intermediary.7. The list of claims in the wait status for more information.1 What are Accumulators? Accumulators are generally database records. After the submission the intermediary is supposed to send an acknowledgement back to the health care company which gives details of o o o 7.1 Accumulators 7. which acts as an intermediary between Health Care Company and the Federal government. It gives the member a detailed explanation of these amounts. Claims rejected and reasons for the same.

4 Visits – for member Visits of the member to provider are accumulated.7. Some plans provide for facility of carry over deductible.3.7.7.1 Copay – for member. 65736839. o Member’s deductible limit is say $ 500.00a Page 96 of 150 .7.1 Periodic Accumulators These accumulators will cover up the amounts for period as mentioned in the effective plan for the member. the amount of money that is going to be paid to/from a member is decided based on the accumulator amounts. 7.3 Deductible . 7. accumulators for the next period will get updated for the deductibles paid. member + family Co-insurance is also accumulated separately for member as well as member and all his/her dependents. Example: o If a member XYZ has plan year 01-Jan-2001 to 31-Dec-2001. 7.7.for member.2 Function/Purpose of Accumulators The main use of accumulators is during the claims adjudication process.Claims ___________________________________________________________________ 7. it accumulates $ 350. this figure may be used to decide the method of payment.7. say partial/full/some percentage of billed. in case member chooses to continue. Carry over Deductible Updates Some plans provide for the provision that. When the same has been decided. Accumulators records are updated accordingly in such cases.7.doc Ver 0. So. 2001 will go on accumulating the data till end of Nov-2001. member no more pays copay to provider. In this case.member. 7. o Plan provision says Carry over deductible is applicable for last 30 days of the plan year. member + family These accumulators include combined figures of co-insurance and deductibles.7. Say.5 Family Dollars Insurance company’s disbursement to member or the provider.3. say $100) during the last 30 days of plan year.3 What is accumulated? 7. member + family Copay is accumulated separately for member as well as member and all his/her dependents.3.4. (Details will come down the line in the document) 7. member + family Co-insurance is also accumulated separately for member as well as member and all his/her dependents.4 Types of Accumulator  7. o Accumulator for yr. o Members pays remaining deductible (part or full.3. The accumulator amounts are checked to find if they are exceeding the limit for a particular member (which is decided when a member enrolls to a PLAN). It comes into picture when deductible limit is met. deductible paid by member in a specific later portion of the effective year.2 7. will be considered as deductible paid towards next year. This reduces burden on member and acts as incentive for member to continue with the co-insurance company. 7.7.7. In a general scenario.3. during predefined period. 7.6 Out of Pocket . Once the maximum limit set by plan is met.2 Co-insurance – for member. the corresponding accumulators are updated with those amounts for the latest instance under consideration.7.3. depending upon how many visits covered for a specific service to same provider.

$100 will get updated in these accumulators.doc Ver 0.Claims ___________________________________________________________________ o o Then new accumulators will be generated as if paid for the next year 2002.2 Lifetime Accumulators These accumulators will sum up the amounts for the life time for a member.8 Overall Claims system diagram : Figure 3: Claims overview 7.00a Page 97 of 150 . If member chooses to continue. Why are letters required? What are different types of letters? What are the various types of Claim adjustments? What does Government reporting consist of? What are the various criteria for deciding the payment of a claim? What is the significance of maintaining Claims history? 65736839. 3.9 1.7. Review Questions. 7. 4. he now needs to pay $100 less towards deductible in the next plan year. 2. 7. 5. because of this facility.4.

ehealthinsurance.DRIVER) SA_AETHMOM2.com/ Aetna Batch driver file (CLPRD.doc Ver 0.  Pre-certification penalty is in excess of any deductible and/or coinsurance applicable to the claim. Accumulators are updated for denied claims.DOC (System appreciation document for Claims maintainance project) SA_AETEDR2. Copay is not the member’s responsibility.Claims ___________________________________________________________________ 6.    State whether true of false – COB deals with claim payment.   Member encounters have to be submitted to the government in a fixed format. Claim adjustments can be done before Claim adjudication.10 References http://www.00a Page 98 of 150 .DOC (System appreciation document) and other docs from Encounter data reporting project 65736839. EOB is letter sent after adjudication. 7.CLDJABDJ.

doc Ver 0.Claims ___________________________________________________________________ 65736839.00a Page 99 of 150 .

and  assesses the quality of health care facilities and services and taking enforcement actions as appropriate.doc Ver 0. Department of Health and Human Services. 65736839.3. and quality-of-care improvement. and makes available to beneficiaries. intermediate care facilities for the mentally retarded.1 Unit Objectives This unit will acquaint the reader with the role played by the external agents in the Healthcare Industry. And CMS.External Agents ___________________________________________________________________ UNIT . all the services and management activities cannot be carried by the insurance payer itself on it's own. 8. treatment.  establishes policies for paying health care providers. CMS:  assures that the Medicaid.00a Page 100 of 150 .VIII 8 External Agents 8. and hospitals). helps millions of Americans and a small company get and keep health insurance coverage.S. It requires some help from some external sources or agencies. CMS runs the Medicare and Medicaid programs . And with the Health Resources and Services Administration. researchers and State surveyors information about these activities and nursing home quality. providers. including regulation of laboratory testing (CLIA). CMS spends over $360 billion a year buying health care services for beneficiaries of Medicare. CMS runs the State Children's Health Insurance Program (SCHIP).  conducts research on the effectiveness of various methods of health care management. Approximately 158. development of coverage policies. and helps eliminate discrimination based on health status for people buying health insurance.2 Introduction In Heath Care Industry. Medicaid and SCHIP. a program that is expected to cover many of the approximately 10 million uninsured children in the United States. CMS maintains oversight of the survey and certification of nursing homes and continuing care providers (including home health agencies.3 8. 8. CMS also regulates all laboratory testing (except research) performed on humans in the United States.1 Government Agencies Centers for Medicare & Medicaid Services (CMS) The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the U. Medicare and SCHIP programs are properly run by its contractors and state agencies. This unit deals with the various different agencies in a Health Care Industry and the role played by them.two national health care programs that benefit about 75 million Americans. with the Departments of Labor and Treasury. and financing.000 laboratory entities fall within CMS's regulatory responsibility. CMS also performs a number of quality-focused activities.

External Agents ___________________________________________________________________

Figure 1 below describes the interaction of CMS and State Government with a Healthcare Industry.

Claims Claim info

Enrollment Member Info

Provider Provider Info

Provider Network Area

Provider Validations

Claims

State Government Rules Medicaid Data State Governments

Encounters

Pharmacy Aetna Internal
Systems

Business Raw Data

Business Criteria + Refined Data

Errors from State I.T. Enrollment Info Reformatted relevant data Medicare Data CMS Federal Government

External sources of data Make Corrections

Federal Rules

Errors from Federal Gov. Members

Users

Letter Generator Letters

Members Make Corrections Corrected Errors Error Correction System Errors

Government Programs

Figure 1 : CMS - Center for Medicare and Medicaid Services

8.3.2

DEPARTMENT OF HEALTH AND HUMAN SERVICES (DHSS)

The DEPARTMENT OF HEALTH AND HUMAN SERVICES is the United States government's principal agency for protecting the health of all Americans and providing essential human services, especially for those who are least able to help themselves. The Department Include more than 300 Programs, covering a wide spectrum of activities. Some highlights include:            Medical and social science research Preventing outbreak of infectious disease, including immunization services Assuring food and drug safety Medicare (health insurance for elderly and disabled Americans) and Medicaid (health insurance for low-income people) Financial assistance and services for low-income families Improving maternal and infant health Head Start (pre-school education and services) Preventing child abuse and domestic violence Substance abuse treatment and prevention Services for older Americans, including home-delivered meals Comprehensive health services for Native Americans

HHS is the largest GRANT-MAKING AGENCY in the federal government, providing some 60,000 grants per year. HHS' Medicare program is the nation's largest health insurer, handling more than 900 million claims per year.

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External Agents ___________________________________________________________________
HHS works closely with STATE, LOCAL AND TRIBAL Governments and many HHS-funded services are provided at the local level by state, county or tribal agencies, or through private sector grantees. 11 HHS operating divisions, including eight agencies in the U.S. Pubic Health Service and three human service agencies administer the Department's programs. In addition to the services they deliver, the HHS programs provide for equitable treatment of beneficiaries nationwide, and they enable the collection of national health and other data.

8.3.3

Centers for Disease Control and Prevention (CDC)

The Centers for Disease Control and Prevention (CDC) is recognized as the lead federal agency for protecting the health and safety of people - at home and abroad, providing credible information to enhance health decisions, and promoting health through strong partnerships. CDC serves as the national focus for developing and applying disease prevention and control, environmental health, and health promotion and education activities designed to improve the health of the people of the United States. CDC, located in Atlanta, Georgia, USA, is an agency of the Department of Health and Human Services. Infectious diseases, such as HIV/AIDS and tuberculosis, have the ability to destroy lives, strain community resources, and even threaten nations. In today's global environment, new diseases have the potential to spread across the world in a matter of days, or even hours, making early detection and action more important than ever. CDC plays a critical role in controlling these diseases, traveling at a moment's notice to investigate outbreaks abroad or at home.

8.3.4

Agency for Health Care Research and Quality (AHRQ)

The Agency for Healthcare Research and Quality (AHRQ) research provides evidencebased information on health care outcomes; quality; and cost, use, and access. Information from AHRQ’s research helps people make more informed decisions and improve the quality of health care services. AHRQ was formerly known as the Agency for Health Care Policy and Research. AHRQ's strategic goals reflect the needs of its customers. These goals are to

Support improvements in health outcomes. The field of health outcome research examines the end results of the structure and processes of health care on the health and well being of patients and populations. A unique characteristic of this research is the incorporation of the patient's perspective in the assessment of effectiveness. Public and private-sector policymakers are also concerned with the end results of their investments in health care, whether at the individual, community, or population level. Strengthen quality measurement and improvement. Achieving this goal requires developing and testing quality measures and investigating the best ways to collect, compare, and communicate these data so they are useful to decision-makers. AHRQ's research will also emphasize studies of the most effective ways to implement these measures and strategies in order to improve patient safety and health care quality. Identify strategies that improve access, foster appropriate use, and reduce unnecessary expenditures. Adequate access and appropriate use of health care services continues to be a challenge for many Americans, particularly the poor, the uninsured, members of minority groups, rural and inner city residents, and other priority populations. The Agency will support studies of access, health care utilization, and expenditures to identify whether particular approaches to health care delivery and payment alter behaviors in ways that promote access and/or economize on health care resource use.

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External Agents ___________________________________________________________________
8.3.5 National Information Center Care Technology (NICHSR) on Health Services Research and Health

The 1993 NIH Revitalization Act created a National Information Center on Health Services Research and Health Care Technology (NICHSR) at the National Library of Medicine to improve "the collection, storage, analysis, retrieval, and dissemination of information on health services research, clinical practice guidelines, and on health care technology, including the assessment of such technology." The Center works closely with the Agency for Healthcare Research and Quality (AHRQ), formerly the Agency for Health Care Policy and Research (AHCPR), to improve the dissemination of the results of health services research, with special emphasis on the growing body of evidence reports and technology assessments which provide organizations with comprehensive, science-based information on common, costly medical conditions and new health care technologies. The overall goals of the NICHSR are:  to make the results of health services research, including practice guidelines and technology assessments, readily available to health practitioners, health care administrators, health policy makers, payers, and the information professionals who serve these groups  to improve access to data and information needed by the creators of health services research  to contribute to the information infrastructure needed to foster patient record systems that can produce useful health services research data as a by-product of providing health care.

8.3.6

Health Resources and Services Administration (HRSA)

The Health Resources and Services Administration's mission is to improve and expand access to quality health care for all. HRSA assures the availability of quality health care to low income, uninsured, isolated, vulnerable and special needs populations and meets their unique health care needs.

8.3.7 5. 6. 7.

Exercise ___ is the Federal Agency that runs the Medicare and Medicaid programs. Information from ______'s research helps people make more informed decisions and improve the quality of health care services. The ____ is the United States government's principal agency for protecting the health of all Americans.

Answers: 5. CMS 6. AHRQ 7. DHSS

8.4 8.4.1

Government Acts and Regulations HIPAA

The Health Insurance Portability & Accountability Act of 1996 (August 21), Public Law 104-191, which amends the Internal Revenue Service Code of 1986. Also known as the Kennedy-Kassebaum Act.

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Compliance is required for the Privacy Rule on April 14. 2002. information systems vendors. and procedures Building "chain of trust" agreements with service organization Redesigning a compliant technical information infrastructure Purchasing new. or adapting. 2001. WHO IS AFFECTED? All healthcare organizations. 2000.fines up to $25K for multiple violations of the same standard in a calendar year -.doc Ver 0. life insurers. information systems Developing new internal communications Training and enforcement Now. administrative and financial data Unique health identifiers for individuals. Required compliance responses aren't standard. policies and procedures Developing an action plan with deadlines and timetables Developing a technical and management infrastructure to implement the plan Implementing a comprehensive action plan."user-based. billing agencies. Let's try to make "Administrative Simplification" simple! HIPAA's "Administrative Simplification" provision is composed of four parts. the effective date is 60 days after a rule is published. More specifically. we'll explore the next level of HIPAA .External Agents ___________________________________________________________________   Improved efficiency in healthcare delivery by standardizing electronic data interchange. clearinghouses. public health authorities.fines up to $250K and/or imprisonment up to 10 years for knowing misuse of individually identifiable health information COMPLIANCE DEADLINES? Most entities have 24 months from the effective date of the final rules to achieve compliance. even 1-physician offices. 2003. an organization with a computer network will be required to implement one or more security authentication access mechanisms . because organizations aren't. for many of us. For example." "role-based. The Privacy Rule was published on December 28. and universities. including: -. So the compliance date for that rule is October 16.00a Page 104 of 150 . This includes all health care providers." Many of the rules and standards are still 65736839. ARE THERE PENALTIES? HIPAA calls for severe civil and criminal penalties for noncompliance." past. each of which have generated a variety of "rules" and "standards. present or future. employers. HIPAA calls for:    Standardization of electronic patient health. processes.depending on its network environment. Steps will include:            Building initial organizational awareness of HIPAA Comprehensive assessing of the organization's information security systems." and/or "context-based" access . health plans and health care providers Security standards protecting the confidentiality and integrity of "individually identifiable health information. service organizations. employers. HOW WILL WE BE AFFECTED? Broadly and deeply. health plans. 2000. Normally. including Developing new policies. but due to minor glitch didn't become effective until April 14. cause more confusion than clarity. The Transactions Rule was published on August 17. and Protection of confidentiality and security of health data through setting and enforcing standards.specifics that. Effective compliance will require organization-wide implementation.

coordination of benefits. transmission. health plan eligibility. Health organizations also must adopt STANDARD CODE SETS to be used in all health transactions.00a Page 105 of 150 . conducive to error and costly.External Agents ___________________________________________________________________ in the "proposed" (by DHHS) stage.doc Ver 0. Today. Implementing a national standard will mean we will all use one format. UNIQUE IDENTIFIERS FOR PROVIDERS. the Electronic Signature standard applies only to the transactions adopted under HIPAA. first injury reports. For example. when final. most are expected to become "final" rules within the year 2000. for most transactions except claims attachments and first reports of injury. thereby "simplifying" and improving transaction efficiency nationwide. SECURITY OF HEALTH INFORMATION & ELECTRONIC SIGNATURE STANDARDS The new Security Standard will provide a uniform level of protection of all health information that is  housed or transmitted electronically and that  Pertains to an individual. The proposed rule requires use of specific electronic formats developed by ANSI. It applies not only to the transactions adopted under HIPAA. and related transactions. claim status. In addition. although if they don't. the code sets proposed as HIPAA standards are already used by much health plans. which HIPAA sees as confusing. Even more confusing. EMPLOYERS. clearinghouses and providers. Providers using non-electronic transactions are not required to adopt the standards. health providers and plans use many different electronic formats. Virtually all health plans will have to adopt these standards. will often have different compliance deadlines. Fortunately. The Security standard mandates safeguards for physical storage and maintenance. HEALTH PLANS and PATIENTS The current system allows us to have multiple ID numbers when dealing with each other. they will have to contract with a clearinghouse to provide translation services. and non-repudiation. The four parts of Administrative Simplification are:  ELECTRONIC HEALTH TRANSACTIONS STANDARDS  UNIQUE IDENTIFIERS  SECURITY & ELECTRONIC SIGNATURE STANDARDS  PRIVACY & CONFIDENTIALITY STANDARDS ELECTRONIC HEALTH TRANSACTIONS STANDARDS The term "Electronic Health Transactions" includes health claims. and access to individual health information. It is expected that standard identifiers will reduce these problems. user authentication. as well as their causes. which should ease the transition. payments for care and health plan premiums. however. but to all individual health information that is maintained or transmitted. this is intended to reduce mistakes. injuries. Again. organizations that use Electronic Signatures will have to meet a standard ensuring message integrity. duplication of effort and costs. enrollment and disenrollment. coding systems that describe diseases. the American National Standards Institute. However. even if a transaction is on paper or by phone or FAX. All parties to any transaction will have to use and accept the same coding. and other health problems. 65736839. symptoms and actions taken must become uniform. in the long run. Proposed regulations for these exceptions are not yet out. the rules.

 give patients new rights to access their medical records and to know who else has accessed them. there will be specific federal penalties if a patient's right to privacy is violated.00a Page 106 of 150 . That changed in 1986 with the passage of health benefit provisions in the Consolidated Omnibus Budget Reconciliation Act (COBRA). If you are entitled to COBRA benefits.  restrict most disclosure of health information to the minimum needed for the intended purpose. so the Congressional Review period didn't begin until February. The new regulation reflects the five basic principles outlined at that time:  Consumer Control: The regulation provides consumers with critical new rights to control the release of their medical information  Boundaries: With few exceptions. 2001. no transactions adopted under HIPAA currently require an electronic signature. your health plan must give you a notice stating your right to choose to continue benefits provided by the plan. There was a time when group health coverage may have been terminated when a worker lost his job or changed employment. conducting medical research. pushing the effective date of the rule until April 14. and fighting health care fraud and abuse.  Public Responsibility: The new standards reflect the need to balance privacy protections with the public responsibility to support such national priorities as protecting public health. 2001. PRIVACY AND CONFIDENTIALITY The Final Rule for Privacy was published just as President Clinton was leaving office. on December 28. including treatment and payment. solutions will vary from business to business.doc Ver 0.000 comments and plans to issue guidelines and clarification of the final rule in response. regardless of whether the information is or has been in electronic form. Compliance will be required on April 14. In general. Now. Once COBRA coverage is chosen. The Privacy standards:  limit the non-consensual use and release of private health information. DHHS Secretary Tommy Thompson used the time to solicit additional comments during March. improving the quality of care. terminated employees or those who lose coverage because of reduced work hours may be able to buy group coverage for themselves and their families for limited periods of time. You have 60 days to accept coverage or lose all rights to benefits. These programs can be one of the most important benefits provided by an employer. you may be required to pay for the coverage. privacy is about whom has the right to access personally identifiable health information.2 CORBA Health insurance programs allow workers and their families to take care of essential medical needs. DHHS received over 11.  Security: It is the responsibility of organizations that are entrusted with health information to protect it against deliberate or inadvertent misuse or disclosure.  Accountability: Under HIPAA. A paperwork glitch delayed notification of Congress.  establish new criminal and civil sanctions for improper use or disclosure. an individual's health care information should be used for health purposes only.External Agents ___________________________________________________________________ The Security Standard does not require specific technologies to be used. 8.  establish new requirements for access to records by researchers and others.4. Also. depending on the needs and technologies in place. 2003 for most covered entities. for the first time. The rule covers all individually identifiable health information in the hands of covered entities. What Is the Continuation Health Law? 65736839.

however. It does. as well as self-employed individuals. The law generally covers group health plans maintained by employers with 20 or more employees in the prior year. since usually the employer pays a part of the premium for active employees while COBRA participants generally pay the entire premium themselves. Group health plans sponsored by private sector employers generally are welfare benefit plans governed by ERISA and subject to its requirements for reporting and disclosure. health maintenance organization. however. ERISA neither establishes minimum standards or benefit eligibility for welfare plans nor mandates the type or level of benefits offered to plan participants. reimbursement or combination of these. A qualified beneficiary may be an employee. the term employees also include agents. COBRA establishes specific criteria for plans. self-funded pay-as-you-go basis.doc Ver 0. than individual health coverage. This coverage. require that these plans have rules outlining how workers become entitled to benefits. a group health plan ordinarily is defined as a plan that provides medical benefits for the employer's own employees and their dependents through insurance or another mechanism such as a trust. The law does not. which initiate the coverage. spouses and dependent children the right to temporary continuation of health coverage at group rates. Medical benefits provided under the terms of the plan and available to COBRA beneficiaries may include:  inpatient and outpatient hospital care  physician care  surgery and other major medical benefits  prescription drugs  any other medical benefits. the Internal Revenue Code and the Public Health Service Act to provide continuation of group health coverage that otherwise might be terminated. Under COBRA. is only available in specific instances. though. but only if they are eligible to participate in a group health plan. retirees.External Agents ___________________________________________________________________ Congress passed the landmark Consolidated Omnibus Budget Reconciliation Act (COBRA) health benefit provisions in 1986. It is ordinarily less expensive. It applies to plans in the private sector and those sponsored by state and local governments. however. The term "employees" includes all full-time and part-time employees. Who Is Entitled to Benefits? There are three elements to qualifying for COBRA benefits. Plan Coverage Group health plans for employers with 20 or more employees on more than 50 percent of the working days in the previous calendar year are subject to COBRA. For this purpose. independent contractors and directors. apply to plans sponsored by the Federal government and certain church-related organizations. the employee's spouse 65736839. beneficiaries and events. Group health coverage for COBRA participants is usually more expensive than health coverage for active employees. however. COBRA contains provisions giving certain former employees. The law amends the Employee Retirement Income Security Act (ERISA).00a Page 107 of 150 . such as dental and vision care Life insurance. is not covered under COBRA. Beneficiary Coverage A qualified beneficiary generally is any individual covered by a group health plan on the day before a qualifying event. fiduciary standards and enforcement.

External Agents ___________________________________________________________________ and dependent children. Qualifying Events Termination Reduced Hours Beneficiary Employee Spouse Dependent Child Spouse Dependent child Coverage 18 months Employee entitled to Medicare Divorce or legal separation Death of covered employee 36 months Loss of "dependent child" Dependent status child Figure: 2 Periods of Coverage Your Rights: Notice and Election Procedures 36 months COBRA outlines procedures for employees and family members to elect continuation coverage and for employers and plans to notify beneficiaries. The type of qualifying event will determine who the qualified beneficiaries are and the required amount of time that a plan must offer the health coverage to them under COBRA. and in certain cases. an individual to lose health coverage. except for COBRA continuation coverage.00a Page 108 of 150 . Employers and plan administrators have an obligation to 65736839. Qualified beneficiaries have the right to elect to continue coverage that is identical to the coverage provided under the plan.doc Ver 0. at its discretion. a retired employee. the retired employee's spouse and dependent children. and plan administrators and qualified beneficiaries. The types of qualifying events for employees are:  voluntary or involuntary termination of employment for reasons other than "gross misconduct" reduction in the number of hours of employment The types of qualifying events for spouses are:  Termination of the covered employee's employment for any reason other than "gross misconduct"  Reduction in the hours worked by the covered employee  Covered employee's becoming entitled to Medicare  Divorce or legal separation of the covered employee  Death of the covered employee The types of qualifying events for dependent children are the same as for the spouse with one addition: loss of "dependent child" status under the plan rules as shown in Figure 1. create rights and obligations for employers. may provide longer periods of continuation coverage. Qualifying Events "Qualifying events" are certain types of events that would cause. The qualifying events contained in the law. A plan.

Election The election period is the time frame during which each qualified beneficiary may choose whether to continue health care coverage under an employer's group health plan. must automatically provide a notice to employees and family members of their right to elect COBRA coverage. Employers must notify plan administrators within 30 days after an employee's death. reduced hours of employment or entitlement to Medicare. ERISA requires employers to furnish modified and updated SPDs containing certain plan information and summaries of material changes in plan requirements. upon notification of a qualifying event. Disabled beneficiaries must notify plan administrators of Social Security disability determinations. COBRA information also is required to be contained in the summary plan description (SPD) which participants receive. The notice must be provided in person or by first class mail within 14 days of receiving information that a qualifying event has occurred. There are two special exceptions to the notice requirements for multi-employer plans. Qualified beneficiaries have a 60-day period to elect whether to continue coverage. 65736839. Specific Notices Specific notice requirements are triggered for employers. This period is measured from the later of the coverage loss date or the date the notice to elect COBRA coverage is sent. A notice must be provided within 60 days of a disability determination and prior to expiration of the 18-month period of COBRA coverage.00a Page 109 of 150 . their spouses and newly hired employees informing them of their rights under COBRA and describing provisions of the law. First. Second. Plan administrators must automatically furnish the SPD booklet 90 days after a person becomes a participant or a beneficiary begins receiving benefits or within 120 days after the plan is subject to the reporting and disclosure provisions of the law. Plan administrators.doc Ver 0. These beneficiaries also must notify the plan administrator within 30 days of a final determination that they are no longer disabled. termination. qualified beneficiaries and plan administrators when a qualifying event occurs. notification and type of coverage options. employers are relieved of the obligation to notify plan administrators when employees terminate or reduce their work hours. COBRA coverage is retroactive if elected and paid for by the qualified beneficiary. Notice Procedures General Notices An initial general notice must be furnished to covered employees. A qualified beneficiary must notify the plan administrator within 60 days after events such as divorce or legal separation or a child's ceasing to be covered as a dependent under plan rules.and 30-day requirements if allowed by plan rules. Plan administrators are responsible for determining whether these qualifying events have occurred. the time frame for providing notices may be extended beyond the 14. Multi-employer plans may provide for a longer period of time.External Agents ___________________________________________________________________ determine the specific rights of beneficiaries with respect to election.

Even though Jane signs up for the new employer's plan..External Agents ___________________________________________________________________ A covered employee or the covered employee's spouse may elect COBRA coverage on behalf of any other qualified beneficiary. is a small business. Example 4: Jane W. has health coverage through his wife's plan sponsored by the XYZ Co. A waiver of coverage may be revoked by or on behalf of a qualified beneficiary before the end of the election period. Inc. individuals may generally elect either the entire package or just core benefits.doc Ver 0. which has no health plan. participates in the group health plan maintained by the ABC Co. Non-core benefits are vision and dental services. left brokerages firm in May 1990 to take a position with a chemical company.. Covered Benefits Qualified beneficiaries must be offered coverage identical to those received immediately before qualifying for continuation coverage. may independently elect COBRA coverage. She was five months pregnant at the time. leaves in June 1988 to take a position with a competing firm. David is entitled to a maximum of 36 months of COBRA coverage. Mary H. For example. A beneficiary may then reinstate coverage. Example 3: RST. vision and prescription benefits under single or multiple plans maintained by the employer. Example 2: Day laborer David P. the plan need only provide continuation coverage beginning on the date the waiver is revoked. which maintained an insured group health plan for its 10 employees in 1987 and 1988. since the firm had fewer than 20 employees in 1987 and is not subject to COBRA requirements. David may purchase health coverage with the plan of his former wife's employer. however. a stockbroker. a beneficiary may have had medical. Each qualified beneficiary. John may elect and pay for a maximum of 18 months of coverage by the employer's group health plan at the group rate. David loses his health coverage when he and his wife become divorced. dental. John is fired for a reason other than gross misconduct and his health coverage is terminated. except where they are mandated by law in which case they become core benefits. Inc. How COBRA Coverage Works Example 1: John Q. she has the right to elect and receive coverage under the old plan for COBRA purposes because the new plan limits benefits for pre-existing conditions.00a Page 110 of 150 . Since in this case divorce is the qualifying event under COBRA. Individuals do not have to be given the option to elect just the non-core benefits unless those were the only benefits carried under that particular plan before a qualifying event. The health plan of the chemical company has a pre-existing condition clause for maternity benefits. A parent or legal guardian may elect on behalf of a minor child. 65736839. Core benefits include all other benefits received by a beneficiary immediately before qualifying for COBRA coverage. Then. If a plan provides both core and non-core benefits. that individual has the right to elect to continue coverage in any of the three health plans. Assuming a qualified beneficiary had been covered by three separate health plans of his former employer on the day preceding the qualifying event. a secretary with six years of service. hospitalization. She is not entitled to COBRA coverage with the plan of RST.

In this case. or a second qualifying event during the initial period of coverage. COBRA does not prohibit plans from offering continuation health coverage that goes beyond the COBRA periods. The premium cannot exceed 102 percent of the cost to the plan for similarly situated individuals who have not incurred a qualifying event. The premium is generally not at a group rate. however.00a Page 111 of 150 . Coverage begins on the date that coverage would otherwise have been lost by reason of a qualifying event and can end when: The last day of maximum coverage is reached Premiums are not paid on a timely basis The employer ceases to maintain any group health plan Coverage is obtained with another employer group health plan that does not contain any exclusion or limitation with respect to any pre-existing condition of such beneficiary A beneficiary is entitled to Medicare benefits Special rules for disabled individuals may extend the maximum periods of coverage. Premiums due may be increased if the costs to the plan increase but generally must be fixed in advance of each 12-month premium cycle. Premiums reflect the total cost of group health coverage. 65736839. the 18-month period is expanded to 29 months. Duration of Coverage COBRA establishes required periods of coverage for continuation health benefits. it must be offered to you. The plan must allow you to pay premiums on a monthly basis if you ask to do so. For disabled beneficiaries receiving an additional 11 months of coverage after the initial 18 months. including both the portion paid by employees and any portion paid by the employer before the qualifying event. may provide longer periods of coverage beyond those required by COBRA. A plan. Certain qualifying events. the premium for those additional months may be increased to 150% of the plan's total cost of coverage. If this option is available from the plan under COBRA. If a qualified beneficiary is determined under Title II or XVI of the Social Security Act to have been disabled at the time of a termination of employment or reduction in hours of employment and the qualified beneficiary properly notifies the plan administrator of the disability determination. COBRA beneficiaries generally are eligible to pay for group coverage during a maximum of 18 months for qualifying events due to employment termination or reduction of hours of work. is not available if the beneficiary ends COBRA coverage before reaching the maximum period of entitlement. Some plans allow beneficiaries to convert group health coverage to an individual policy. the option must be given for the beneficiary to enroll in a conversion health plan within 180 days before COBRA coverage ends. may permit a beneficiary to receive a maximum of 36 months of coverage. The conversion option. plus two percent for administrative costs. Although COBRA specifies certain maximum required periods of time that continued health coverage must be offered to qualified beneficiaries.External Agents ___________________________________________________________________ A change in the benefits under the plan for active employees may apply to qualified beneficiaries.doc Ver 0. Paying for COBRA Coverage Beneficiaries may be required to pay the entire premium for coverage. however. Beneficiaries also may change coverage during periods of open enrollment by the plan.

when an employer's obligation to maintain health benefits under FMLA ceases. The United States Public Health Service administers the continuation coverage law as it affects public sector health plans. 65736839. For example. Role of the Federal Government Continuation coverage laws are administered by several agencies. The plan. Complete plan rules are available from employers or benefits offices. Government. listed in most telephone directories under U. Claims procedures are to be included in the SPD booklet. COBRA beneficiaries remain subject to the rules of the plan and therefore must satisfy all costs related to deductibles. If the claim is denied notice of denial must be in writing and furnished generally within 90 days after the claim is filed. A COBRA qualifying event may occur. Department of Labor.). catastrophic and other benefit limits. however. Contact the plan administrator for more information on filing a claim for benefits. Claims Procedures Health plan rules must explain how to obtain benefits and must include written procedures for processing claims. Premiums for successive periods of coverage are due on the date stated in the plan with a minimum 30-day grace period for payments. The due date may not be prior to the first day of the period of coverage. however. The notice should state the reasons for the denial. plan administrator. and FMLA leave is not a qualifying event under COBRA. is not obligated to send monthly premium notices. the due date for the month of January could not be prior to January 1 and coverage for January could not be cancelled if payment is made by January 31. etc. requires an employer to maintain coverage under any "group health plan" for an employee on FMLA leave under the same conditions coverage would have been provided if the employee had continued working. Further information on FMLA is available from the nearest office of the Wage and Hour Division. You should submit a written claim for benefits to whomever is designated to operate the health plan (employer. You have 60 days to appeal a denial and must receive a decision on the appeal within 60 days after that unless the plan provides for a special hearing. which meets. only on a periodic basis. such as when an employee notifies an employer of his or her intent not to return to work. Payment generally must cover the period of coverage from the date of COBRA election retroactive to the date of the loss of coverage due to the qualifying event. or a group. Coverage provided under the FMLA is not COBRA coverage. any additional information needed to support the claim and procedures for appealing the denial. There can be charges up to 25 cents a page for copies of plan rules. Coordination with Other Benefits The Family and Medical Leave Act (FMLA).S. 1993. effective August 5. Employment Standards Administration. must make the decision. Premiums for the rest of the COBRA period must be made within 30 days after the due date for each such premium or such longer period as provided by the plan.doc Ver 0. The Departments of Labor and Treasury have jurisdiction over private sector health plans.00a Page 112 of 150 .External Agents ___________________________________________________________________ The initial premium payment must be made within 45 days after the date of the COBRA election by the qualified beneficiary.

5 Clearing Houses A HealthCare Transaction Clearinghouse performs auditing services on insurance claims.1 Benefits Of A Clearinghouse  Cash Flow If a HealthCare Provider were to send claims through the mail. Exercise HIPAA Means Health Insurance Portability & Affordability Act.3 1.doc Ver 0. we make no guarantees. many weeks would pass before he would receive mail notification that errors were holding up payment release on his submitted claims.00a Page 113 of 150 . Improved efficiency in healthcare delivery by standardizing electronic data interchange is a main feature in HIPAA. If a claim is determined to be free of typographical. it is forwarded to the insurance company responsible for payment. Be sure to periodically contact the health plan to find out about any changes in the type or level of benefits offered by the plan. False 2. COBRA 3. Say True or False. Net result: Improved cash flow. The HealthCare Provider may then correct the related errors and resubmit for another pass.External Agents ___________________________________________________________________ Conclusion Rising medical costs have transformed health benefits from a privilege to a household necessity for most Americans. We will make an effort to correct errors brought to our attention. Say True or False. 65736839. This process may be repeated until the claim passes the inspection.4. 8. 2. 3. ______ Contains provisions giving certain former employees the right to temporary continuation of health coverage at group rates.5. down from 4-8 weeks on paper claims. While we try to keep the information timely and accurate. Workers need to be aware of changes in health care laws to preserve their benefit rights. Most of the specific rules on COBRA benefits can be found there or with the person who manages your health benefits plan. True 8. syntax. Answers: 1. 8. If errors are detected. This is a service that is continually under development. and logistical content errors. COBRA creates an opportunity for persons to retain this important benefit. A good starting point is reading your plan booklet. it is returned to the HealthCare Provider along with an explanation of what was wrong. The Department of Labor maintains this article to enhance public access to the Department's information. A Clearinghouse collapses the wait cycle into an average of 5-21 days.

HealthCare Providers using the free or low cost software distributed by some insurance companies are subject to biased auditing without knowing so. Typically.  Connectivity Some insurance companies offer direct filing software. Some clearinghouses though. have strong ties with insurance companies that result in biased editing.000 .5. But clearinghouses can typically access hundreds of insurance companies through a single port of entry from the office of the HealthCare Provider. but most are not reported back to the HealthCare Provider. Direct Filing Same. HealthCare Providers. Filing a claim to an insurance company direct is almost reminiscent of allowing the IRS to file your tax return. Insurance companies tend to "pick" on some HealthCare Providers and not on others.2 Clearinghouse versus Direct Filing Using A Clearinghouse Routinely check for as many as 10. A clearinghouse has everything to gain by HealthCare Providers getting paid quickly and collecting as much of a submitted claim value as possible. When the claim travels electronically through a clearinghouse. Then rejection occurs. 65736839. Coding is crucial in determining the income of a HealthCare Provider. The industry is riddled with organizations that are exceptionally difficult to decipher. direct filing to insurance companies offers potentially hard to detect disadvantages to U. Audits performed on claims are not critiqued in favor of the insurance company with regard to how claims are coded. Today's HealthCare Clearinghouse market is very confusing. Insurance companies have everything to gain by delaying payment to HealthCare Providers. Some clearinghouses charge $0. In many cases claims just "sit there" until a tracer or formal complaint is received.External Agents ___________________________________________________________________  Guaranteed Delivery Insurance Companies often claim not having received claims that HealthCare Providers send through the mail.S.00a Page 114 of 150 .30. This may go unnoticed by incompetent or negligent staff inside the office of the HealthCare Provider. 8. others nothing.000 combinations of errors. and yet others in-between somewhere.50 per claim.doc Ver 0. since the software may reject certain coding combinations during data entry. A clearinghouse serves as a liaison to the HealthCare Provider. Topic Audit Logic Unbiased Processing Clearly. a clearinghouse has nothing to gain by delaying submissions or other operational errors. these instances are greatly reduced. Instant notification back to the Provider.

most income derives from insurance companies and is formally referred to as "rebates". The following chart will illustrate all the groups Clearinghouse Types  Type 1 Type 2 Type 3 Biased processing. Primary income is derived from the submitting HealthCare Provider. close affiliation with insurance companies Unbiased. Rebates.   It may be helpful. health.6 Third Party Administrators Third Party Administrator is an entity required to make or responsible for making payment on behalf of a group health plan.5. "Administrator" does not include any of the following: 65736839. Guaranteed Delivery & Connectivity. Insurance Claims.3 Clearinghouse Income  Type 1 Biased. thus avoiding the typical enormous overhead of Type 2 clearinghouses. Unbiased and "rebate" free. A HealthCare Transaction Clearinghouse performs auditing services on ___________ _______. Cash Flow. Type 3 clearinghouses utilize Type 2 gateways for transporting claims. As Type 1 clearinghouses developed "rebate" income. 8. to whom services are rendered. Insurance companies typically do not charge anything to receive claims. however. or disability insurance or self-insurance programs. residents of this state in connection with life.External Agents ___________________________________________________________________ As indicated. Type 2 clearinghouses followed up by negotiating rebates as well. Type 3 clearinghouses "lease" Type 2 gateways to insurance companies at volume driven rates.doc Ver 0.4 1. dental. standard working relationship with insurance companies Unbiased. They typically fall into one of three possible group types. 2. Typically competitive in cost and superior in service. all clearinghouses are not created equal.  Type 2  Type 3 8.00a Page 115 of 150 . Answers: 1. to understand how clearinghouses make their money.5. 8. "Administrator" means any person who adjusts or settles claims on. 2. but render unique and superior audits resulting in improved services at a lower cost to the HealthCare Provider. Exercise List down the Benefits of a Clearinghouse. close affiliation with leading Type 2 clearinghouses. imply that something was initially received.

dental. that enables to conquer the mysticism of Claims Adjudication.  Fail to disclose in written form the method of collecting and holding any plan sponsor's funds. Any health-insuring corporation holding a certificate of authority of the Revised Code or an insurance company that is authorized to write life or sickness and accident insurance in this state. Any person who administers or operates the workers' compensation program of a selfinsuring employer under of the Revised Code.16 of the Revised Code. upon application. Features: Repricing 65736839. a plan or sponsor of a plan that is either domiciled in this state or has its principal headquarters or principal administrative office in this state unless the person is duly licensed under sections 3959. Any person who administers pension plans for the benefit of the person's own members or employees or administers pension plans for the benefit of the members or employees of any other person. The aggregate excess insurance stop-loss attachment point factors. and any ownership relationship of five per cent or more between the administrator and such insurance payers. provided the state of domicile recognizes and grants licenses to administrators of this state who have obtained licenses under such sections.01 to 3959. including any minimum attachment point factors. Levels of the specific excess insurance stop-loss deductible.doc Ver 0. or disability benefits exclusively for the person's own members or employees. to the plan sponsor all of the following: All fixed plan costs. Any person that administers an insured plan or a self-insured plan that provides life. No person shall solicit a plan or sponsor of a plan to act as an administrator for. An administrator who has been licensed or certified by the state of the administrator's domicile under a statute or rule of the Revised Code shall.External Agents ___________________________________________________________________    An insurance agent or solicitor licensed in this state whose activities are limited exclusively to the sale of insurance and who does not provide any administrative services.00a Page 116 of 150 .7 Specialized Adjudication Engines/Companies Adjudicator A powerful engine that links to the existing software equipped with simple Boolean rules. The system contains the most commonly used routines to analyze a healthcare claim and one can also write specific rules required for adjudicating the claims. or provide administrative services to. No administrator shall do any of the following:  Use plan sponsor funds for any purpose or purposes not specifically set forth in written form by the administrator. be licensed without testing.  Fail to disclose in written solicitation material and on an on-going basis. 8. identifying what each fixed cost includes. The names of all insurance payers providing protection for the plan sponsor's plans.  Fail to remit insurance company premiums within the policy period or within the time period agreed to in writing between the insurance company and the administrator. at least once annually. health.   Administrators may be tested and shall be licensed by the superintendent of insurance in accordance with rules adopted by the superintendent.

External Agents ___________________________________________________________________ Validates eligibility of patients.1 Accreditation Agencies The Accreditation Process Organizations applying for accreditation participate in a process that entails a rigorous review occurring in four phases. supporting brokers in plan development. 8. The initial phase "Building the Application". the remaining three phases of the accreditation process cover a period of approximately three to six months. serve and renew policies. sample template letters. contracts. and program descriptions and plans for departments such as quality management and credentialing. 65736839. enroll.9. case installation and communication. After receiving a desktop review summary. like for example Workers Compensation cases.1. consultation. including licensing and appointment with insurance payer. "AccuChecker for Windows" has the 2001 tables of procedures and ICD-9 codes. resolve complex service issues. and preserve the integrity of brokerclient relationships. procedures. but is not limited to. These phases include the following: 8.doc Ver 0.1 Desktop Review In the desktop review process. position descriptions. If you process claims that require different fee schedules.9. they provide valuable services. negotiation. organizational charts. computing the amount approved according to established fee Schedules and provider's contractual agreement Gives you the tools to automate correspondence with patients and providers AccuChecker is one such Adjudication Engine.9 8. modifiers and diagnoses Detects unbundling and upcoding Allows you to reduce levels of service Alerts of potential fraudulent billing Prepares an explanation of benefits with messages specific to your operation. in an effort to maximize cost containment and fairness in adjudicating claims. The applicant's documentation usually consists of. As a full-service agency. the applicant usually must provide additional documentation clarifying any pending issues. This system comes equipped with "AccuChecker for Windows". 8. diagnoses and the Medicare fee schedule. a comprehensive database that contains procedures. also uses the HFCA published guidelines for medical procedures. one or more full-time URAC reviewers analyze the applicant's documentation in relation to the URAC standards. formal policies and procedures. They are the people who work behind the scenes to reduce administrative hassles. as well as plan management and customer service.8 General Agents They provide end-to-end connectivity that allows brokers and their clients to shop. which consists of completing the application forms and supplying supporting documentation. the system allows you to insert additional files with the information needed. purchase.00a Page 117 of 150 . the leading accreditation organization for traditional health insurers). Once the application and base fee are received by URAC (The American Accreditation Healthcare Commission/Utilization Review Accreditation Commission (URAC). usually takes several months.

If an accredited company is unable to comply with URAC Standards. the accreditation review team conducts an onsite review to verify compliance with the standards. Follow-up activities for organizations receiving conditional accreditation or corrective action may include submission of additional or revised documentation and another onsite review.2 Onsite Review After the desktop review is complete. This summary is submitted to URAC's Accreditation Committee for evaluation with discussion with the review team as needed. During the onsite visit. e. Each accredited site is given its own certificate. attesting to the program the organization is accredited for. which has the authority to grant accreditation. carried out by the same team that performed the desktop review.doc Ver 0..1.External Agents ___________________________________________________________________ 8. the Executive Committee makes a final accreditation determination. When these follow-up activities are complete. An accreditation recommendation is then forwarded to URAC's Executive Committee. 8. Education and quality management programs are reviewed in detail as well. Accredited organizations also provide copies of accreditation certificates to regulators in states where URAC accreditation is deemed. those that have not yet implemented their program or have not had at least six months of operational experience at the time of the onsite review.9. Conditional accreditation may also be awarded to companies determined to be "start-ups". This will help the applicant differentiate its various products in the health care market and target a variety of current and potential clients.1. or choose to withdraw.9. and an accreditation certificate is issued to each company site that participated in the accreditation review. its accreditation will likely be rescinded. The committee review process begins with a written summary documenting the findings of the desktop and onsite reviews. During this review. management is interviewed about the organization's programs and staff is observed performing its duties. Organizations that are unable to meet URAC standards may be placed on corrective action status.3 Committee Review The last phase in the accreditation process is a review by two URAC committees that include professionals from a variety of areas in health care as well as industry experts selected from or chosen by URAC's member organizations.4 Accreditation Status Applicants who successfully meet all requirements are awarded a full two-year accreditation. 8. audits are conducted and personnel and credentialing files analyzed.1. but incomplete implementation of certain policies and procedures. URAC reviewers also share "best practices" and provide other helpful guidance.9.g. Ongoing Compliance with the Standards Accredited organizations must continue to remain in compliance with the applicable standards throughout the accreditation cycle. In addition. Conditional accreditation may be awarded to applicants who have appropriate documentation. Complaints against an Accredited Company 65736839. denied accreditation.00a Page 118 of 150 . After reviewing the summary and considering the Accreditation Committee's recommendation. Accreditation Certificates A certificate of accreditation is awarded to accredited organizations. a follow-up executive summary is submitted to URAC's committees for a possible change to full accreditation.

URAC reserves the right to conduct an onsite review if the telephone interview and formal application are inconclusive. Web Site Accreditation Process The Web site accreditation process has some notable differences from the other accreditation programs. The Accreditation Reviewer will follow the formal application through the accreditation process and is the same reviewer who will conduct all activities associated with the review process -desktop review. Accreditation Cycle and Reaccreditation URAC accreditation is granted for two years starting the first day of the month following URAC's Executive Committee approval. When they apply for individual insurance. the initial cost of establishing group coverage is lower than the cost of issuing a separate policy to each person. onsite visits are not "required" during the application process and a telephone interview of corporate officials is conducted instead.External Agents ___________________________________________________________________ URAC has a grievance procedure for investigation of complaints about an accredited company. URAC first requires applicants to submit a “pre-applications” including payment information and general information about the company and it’s Web site. a single policy covers the medical expenses of many different people (a group) instead of covering just one person. members purchase individual insurance directly from an insurance company.doc Ver 0. With group health insurance. Once the pre-pay is processed. they are evaluated in terms of how much risk they present to the insurance company. This is generally done through a series of medical questions and/or a physical exam. The application process is divided into two distinct phases: 1) the pre-application. with the sponsoring employer or association paying all or part of the premium. Accredited companies seeking reaccreditation must submit the reaccreditation application to URAC at least four months before the accreditation expiration date or six months prior to expiration if the accredited company is a network reapplying for Health Plan or Health Network accreditation. URAC will send the primary contact person a letter and/or email confirming receipt of the preapplication. and presentation of the application to the URAC committees. For this reason. providers or regulators. online formal application which contains questions specifically related to the Standards. Unlike other URAC accreditation programs. The letter of receipt will include confidential access codes assigned to the applicant that are used to access the secure. URAC's model of performing accreditation reviews allows the Accreditation Reviewers to develop an in-depth knowledge of the organization under review and provides a mechanism for the applicant to receive on-going feedback regarding the application and review findings. depending on the nature and frequency of the violations. because group insurance allows the insurer to spread the risk over a larger number of people. Complaints may originate from consumers. URAC may sanction an accredited company. which may or may not include an onsite visit. Sanctions may range from a letter of reprimand to revocation of accreditation. and 2) the formal application. After an investigation of each complaint.00a Page 119 of 150 . Once completed. onsite review. Employer-sponsored plans and associations are among the most common sources of group health insurance. Member’s risk potential will determine whether he qualifies for insurance and how much the insurance will cost. individual insurance is generally more difficult to obtain and more costly than group insurance. 65736839. Because only one policy is issued for the entire group. Unlike group insurance. In certain circumstances. Individual insurance is somewhat more risky for insurers than group insurance. Individual health insurance is a type of policy that covers the medical expenses of only one person. URAC will initiate the formal application process. the formal application will be assigned to an Accreditation Reviewer.

Once the rebate checks arrive. which allows him to buy outside the preferred network for same Co-pay. Any drug on the NDC list can be covered under the contract (but usually very costly and very rarely used drugs are not part of rebate contract). The invoice amounts and the details are communicated to the manufacturing companies. where each person's risk potential is evaluated and used to determine insurability. Doctors as well as pharmacies are provided with the preferred drug list (usually on-line). the only real disadvantage of group insurance is limited or no freedom to customize the policy to member’s individual needs.External Agents ___________________________________________________________________ Unlike individual insurance. as are the deductible amount and co-payment percentage. In the invoicing stage. The specific policy provisions are all determined in advance. for all the products they wish to add to preferred drug list. such as average age and degree of occupational hazard. 65736839. Actual rebate value is decided when the contract is set up and varies over a wide range depending on the contract and manufacturer. The policy is typically negotiated between the insurer and the "master" policy owner (employer or association) without any input from the member. client. The premium for group insurance is calculated based on characteristics of the group as a whole.00a Page 120 of 150 . based on the manufacturer. a set of jobs does the actual rebate amount calculations. 8. but this plan attracts higher premium. Once the claim is adjudicated. The Volume Discount System runs on a quarterly basis. which is an independently managed US wide database for drugs. Whenever a member goes to buy a drug from a pharmacy. contract. Various inclusion/exclusion rules are applied. regarding rebates that can be obtained from the individual manufacturers when drugs bought under health insurance policies cross pre-defined limits. along with the business rules from the contracts and summary files are obtained which form the input to the invoicing stage. want to put their products on preferred drug list/network. In general. The on-line screens are also used to enter the business rules (exclusion & inclusion) that determine the actual set of already adjudicated claims that can be considered for the rebates as defined in the contracts. it is entered in the database. Invoices for the dollar amounts payable by each manufacturer is prepared. but if he buys drug outside the preferred drug network. A member has to pay standard Co-pay when he buys a preferred drug. who to promote the sales.10 Drug Manufacturers Health Insurance group identifies potential drug manufactures. Formulary and Cost Management Group using VDS on-line transactions only enter all these information. either electronically or through postal mails. his claim is adjudicated online by the Real time Adjudication System. Doctors can prescribe a drug outside this preferred list. A member can take a plan. product indicator etc. Health Insurance sets up a contract with each of them. These limits are decided at the contract level and can be directly proportional to the number of drugs sold or can be based upon the market-share value for that drug across all the competitor drugs. The drug information is obtained from First Data Bank. he has to pay higher Co-pay. An extraction job runs on this database every quarter and pulls out those claims for which there are rebate contracts set up. all eligible people can be covered by a group policy regardless of age or physical condition. group. The contract details of every manufacturer are set up through some process like Volume Discount on-line processes.doc Ver 0. This process also generates detailed utilization information to support rebates invoiced. the relevant details are entered through Volume Discount Allocation system.

html http://www. 8.doc Ver 0.com http://www.com http://www. 4.11 Review Questions 1.gov/ http://www.gov/ http://www. 18.com http://www.00a Page 121 of 150 .healthinsurance.External Agents ___________________________________________________________________ 8. 25. 14.12 References 5.gov http://www.healtheon. 11.horizon-healthcare.com http://www.hipaadvisory.com http://www. 10. 9. 2. 19.com http://www. http://www.com http://www. 15.com http://www.com 65736839.iix.cdc. yourhealthplanonline. What is the role of Drug Manufacturers in a Healthcare Industry? What are the four parts of Administrative Simplification in HIPAA? 8.yourhealthplans.insurance. 20.gov/ http://www. 6.alliance-edi. Explain the role of Third party Administrators.gov/nichsr/nichsr.com http://www.dhhs. 23.dhhs.iix.com http://www.nlm.nih. 21. 13.com http://www.horizon-healthcare. 12.hrsa. 17.yourhealthplans.com http://www.com http://www. 7.os. 22.hcfa.com http://www.alliance-edi.accuchecker.insurance.com http://www. 24. List down some of the features of Adjudicators. 16.accuchecker. 3.

cdc.gov/ r.dhhs.hcfa. 27.html 65736839.os.gov/ http://www.nlm.dhhs.External Agents ___________________________________________________________________ 26. 32. 29. 33.com http://www.healthinsurance.com http://www.com http://www.gov http://www.00a Page 122 of 150 .com http://www. 34. http://www.nih.hrsa.gov/ http://www.healtheon.doc Ver 0. 28. 30.hipaadvisory.gov/nichsr/nichs http://www. yourhealthplanonline. 31.

Figure 4: Detailed Workflow This diagram can be broken down into following stages – 65736839. 9.1 Unit Objectives This unit will summarize the contents of this course material by presenting a detailed description of healthcare industry workflow.00a Page 123 of 150 .2 Workflow The detailed workflow for the healthcare industry can be represented as shown in the Following figure.IX 9 Summary 9.Summary ___________________________________________________________________ UNIT .doc Ver 0.

The insurance company guarantees an increased patient volume and they in turn give rate discounts to the members. However. their age. They collect the required information such as number of members. If this quote is accepted. the flow is a bit more complicated. 9. income data. But before the providers can become a part of the from the relevant accreditation agencies. The PCP will also file a claim on behalf of the member. PCP information (in case of managed care plans). The member first has to visit his PCP.3 An Enrolled member wants to seek medical services. hospitals and pharmacies. as in the staff model.00a Page 124 of 150 . to the quote requester. This referral authorizes the member to seek medical services of a specialist provider. The member only has to pay fixed copay to both the PCP and the specialist. type of plan.Summary ___________________________________________________________________ 9. Based on their judgment and experience they tailor the rates and prepare the details of plan coverage and commercial agreements. But. claim posting address amongst other things. member number. which is submitted.2. In case of PPO plans the member has the added advantage that he does need to have a PCP for In-network care.doc Ver 0. previous medical history. it needs to have an agreement with healthcare providers such as doctors. He pays the provider then and there and files a claim with the insurance company. However. They can also be contracted in the form of an IPA or may be put on the payroll of the insurance company. then the policy department of the insurance company prepares a policy which has details such as policy number. If this is accepted by the quote requester. This is the flow in case of HMO and EPO plans. payment details. Based on these rates. they will have to meet a deductible before they can avail this facility. Now the member is formally enrolled with the insurance company. Usually. The PCP will try to provide as many services as he can. doctors are contracted by paying them a fixed capitation fee (this is the case for most individual doctors). then the insurance company pays him a commission based on the size and nature of the deal. If the member is enrolled in an Indemnity plan. Also the concept of coinsurance will come into picture. then things are very simple. the marketing department of the company creates a quote and presents it to the plan sponsor. it is necessary that he should have satisfied his deductible for that particular year.2. the underwriters validate the rates offered by the marketing department.1 The Beginning: Member wants to purchase insurance The sales and marketing department approaches potential member(s).2 Getting a provider For an insurance company to deliver healthcare services to its members. if a medical condition arises which requires treatment from a specialist. the member can seek services from out of network providers. The actuaries calculate the rates for the various services to be offered by the insurance company. If there was any broker involved in the deal. This data goes into an offer presentation. In case of POS and PPO plans. In case of managed care plans. 65736839.2. network they need to get accreditation 9. He can go to any provider of his choice. Hospitals and pharmacies are usually contracted on a volume-for-rebate basis. the PCP will provide a referral to the member. etc to prepare a quote.

There are several government agencies that help in regulation of the healthcare industry. As a matter of fact. This helps reduce the burden on the insurance company and speeds up the process. If the claim requires very specialized processing (and if the rule engine for that is not available with the insurance company). The turn around time take to process the claims is also an important consideration for members and providers. If the claims are found to be free of such errors. In short claims adjudication requires lot of database interaction and is the most complex of all processes. plays an important role in shaping the way the industry functions.2. it was the path breaking HMO act of 1973. Accreditation agencies such as URAC (The American Accreditation Healthcare Commission/Utilization Review Accreditation Commission) play an important role in ensuring that only qualified providers are able to sell their services in the market. Claims adjudication requires a lot of information about various entities such as members. which paved the way for the managed care model. The federal spending on healthcare also has been on a steady rise. In addition there are several other agencies such as clearinghouses and third party administrators who help the insurance companies deliver better services to the members. which has since then dominated the market. The federal government too. In case of the member having coverage with multiple carries. as otherwise these claims would have to be adjudicated manually.S.Summary ___________________________________________________________________ 9. 9.3 Review Questions. providers. the primary payer takes care of the COB or coordination of benefits. The government controlled Medicare and Medicaid are amongst the most important healthcare plans available. He is also sent an EOB detailing the payments made and the reasons for those.A. the claim examiners do the adjudication manually. 65736839.00a Page 125 of 150 .2. If the claim is found to be a valid one.doc Ver 0.4 References. In case the claims have incomplete information or the information is ambiguous. NA 9. they are sent to the insurance company. then the claim adjudication is outsourced to a company specializing in adjudication of such claims. 9.4 Member has filed a claim In most cases the claim is first validated for typographical and information errors by clearinghouses. policy that are stored in their respective databases. then the member is paid for his expenses. Incorrect claims are returned back to the member (or his PCP whoever has file the claim). The company validates the claims based on various factors (as were detailed out in the unit on claims).5 Effect of external agencies Health insurance is a highly regulated area in the U. Hence the insurance companies try to reduce the time for adjudication by going automatic claim adjudication systems. The information about the entire processing is usually stored in a database for further reference. There is usually a rule engine (a software) in place for adjudication.

doc Ver 0.00a Page 126 of 150 .Summary ___________________________________________________________________ 65736839.

1998-2003 (Millions of U.144 13.doc Ver 0.867 161.5 515. by Region.843.146 592.834 10.523 442.201 2.268.479 9.749 5.164 417.3 Source: Dataquest (January 2000) 10.819.752 140.628 289. In Germany/ France.393 411.081 81.682 258.931 1.122 17.018 91.140 5.756 50.979 3. Other countries spend less on IT as a % of revenues.Appendix ___________________________________________________________________ 10 Appendices 10.668 44.800 20.259 194.S.5 45.8 Asia/Pacific Canada Europe Japan Latin America Rest of World United States Total Healthcare Worldwide 42.8 46.444 184.408 69.964 151.403 1.437 266.402 66.020 293.805 646.850 48.551 45.877 1. 65736839.804 109.6 43.829 31.606.050.979 363.086 14.314 25. Dollars) Healthcare 1998 1999 2000 2001 2002 2003 CAGR (%) 53.00a Page 127 of 150 .917 29.2 Appendix B: The world Healthcare market and Healthcare IT spending The US healthcare market is predominantly privately run.090.988 210. Whereas they are Tax based systems (all providers are government owned) are in vogue in UK/Australia.505 54.674 32.1 Appendix A: Total E-Business Services Forecast for Healthcare Total E-Business Services Forecast for Healthcare.741.477 141.2 835.1 1. there are Insurance-based systems in which providers are subcontracted by the government.5% in Europe.187 40.113 500. Japan and Australia.1.285 816.612 1.

less choice to patients and administration efficiencies. a core focus for most governments around the world will continue to grow as newer technologies and sciences (Genomics.3 Appendix C: The Cash Flux of the US Healthcare Industry Healthcare started in a “not for profit” mindset and that still has influence in decisions made in this sector. but the profit angle is increasingly focused on. investment in IT in healthcare is at a low of 3% as compared to an overall average of 6% and 12% for Financial services. Other countries spend less on healthcare than the US does because single payer systems tend to have efficiencies in purchasing. (Source: Gartner Research.00a Page 128 of 150 . Healthcare market. (Source: Gartner Research. Inc) 10.Appendix ___________________________________________________________________ Worldwide. Inc) 65736839. Proteomics and Bio technology) revolutionize health care.doc Ver 0.

3 Trillion. 2001 ABCDEF Inc Effective Date 10/01/2001 Renewal Date 10/01/2001 Service Area Colorado .70 $413. 70% of the Federal budget of the US. Inc) 10.Central Benefits For ZZZZ Plan Primary Office Visit Copay: ($5) Specialist Copay: ($5) SPU Surgery Copay: ($0) Hospitalization Copay/A: ($0) Emergency Room Copay: ($35) MH O/P Copay: ($25) 20v/cal Routine Eye Exam Copay: ($5) Routine GYN Exam Copay: ($5) 1v/yr Pediatric Preventive Dental Copay: ($5) Quote ID 7011968 Colorado Composite Rates Single Parent and Child(ren) Couple Family $114. Service Area is determined by the location of the subscriber's primary care doctor. The total health care spending (by private and public in the US) is 1.Appendix ___________________________________________________________________ US is the largest spender in this market. account for 43% of the world spending.00a Page 129 of 150 . (Source: Gartner Research. 65736839.00 $264.US also leads in the IT development of this market.60 $227. Rates will vary for other service areas.doc Ver 0.a whopping number by any standards.4 Appendix C: Sample Quote Sheet Page 1 XXXX Proposal For July 26.30 The foregoing rates apply in the Service Area specified above.

Benefit Waiting Period (BWP) Standard BWP is 3 months minimum.doc Ver 0. 6 months maximum or match the incumbent carrier's BWP up to 6 months maximum. an unmarried child who is a full-time student under twenty-four (24) years of age and who is financially dependent upon the parent.Groups with 10 or more eligible employees have the right to see what the premium would be quoted either of two ways. employee/children and employee/family. a composite rate structure (an average rate based upon employee enrollment which vary by family status)or an age banded rate structure (a rate based on the age of the enrolledemployee). an unmarried child under nineteen (19) years of age. There are three different rate tiers available when electing the composite rate structure.. Any changes in benefit level or conditions stated above may require a change in rates.Appendix ___________________________________________________________________ Quote Conditions Assumed Dependent Eligibility Dependent means a spouse.00a Page 130 of 150 .(b) 3 tier whichis an average rate for employee only. spouse or children and employee/family and (c) 4 tier which is an average rate for employee only.The carrier also must provide the form.which is intended to facilitate comparison of health plans. 07/26/2001 1:48:14 PM 7011882 LIFRAM12 65736839.Groups with under 10 employees may only elect an age banded rate structure. These monthly quoted rates are valid as of the Effective Date and apply only to the benefit level and conditions stated above and are subject to the terms and conditions set forth in the HMO's Group Master Contract.employee. upon oral or written request. Employer Authorization ___________________________________ Date ______________________ CC: AAAAA BBBBBB For office use only Grp Type 10 Code P RA TR X Val'd Seq#/Grp# 058963532205 Quote ID Customer ID 7011968 Calc 2254643 U PPID Rate Colorado law requires carriers to make available a Colorado Health Plan Description Form.within three(3) business days. Rates are pending approval by state regulators and are subject to adjustment based on regulatory determinations. to any person who is interested in coverage under or who is covered by a health benefit plan of the carrier. and an unmarried child of any age who is medically certified as disabled and dependent upon the parent.employee/spouse.e. i. There are two different rate structures available depending on the employer case size.The form must be provided automatically within three (3) business days to a potential policyholder who has expressed interest in a particular plan. (a) 2 tier which is average rate for employee only and employee/family. This proposal is subject to change at any time prior to the acceptance by AUSHC of Employer's offer.

which the member has to pay for service availed from a provider. For e. Premium: A fixed amount.Glossary ___________________________________________________________________ 11 Glossary  Benefit: (1) Right of the insured to receive either cash or services promised under the terms of an insurance policy. Plan: An agreement between the Insurance Company and the member that details the services that can be provided to the plan holders i.g. Member: The person or group who seeks insurance. Network: A group of providers in designated areas who are contracted by the insurance company to provide healthcare services to its members.say Surgery) Insurance company will pay for.doc Ver 0. (2) A major line of coverage provided by an insurance company (i.g. Medical. Referral: An authorization from a PCP permitting a member to visit a specialist doctor for further treatment. For e. Long Term Disability. Dental. the member.00a Page 131 of 150 . A plan document identifies the benefits the members are to receive and the requirements they must meet to become entitled to those benefits.e. which has to be paid by the member to the insurance company before he can claim for benefits. Co-Pay: The fixed amount. pharmacies all can be providers. fully or partially. o What are the payments that the member makes? Policy: The legal document or contract issued by the insurance company to the member that sets forth the terms and conditions of the insurance. Insurer: The organization that provides insurance. Provider: The person or group that provides medical services. It covers aspects like – o Policy agreements. hospitals. etc. doctors. PCP: Or the primary care physician is a doctor contracted by the insurance company to manage the healthcare of a member. his co-pay is $5. which the member has to pay to the insurance company on a timely basis (annually/quarterly/monthly) as a fee for providing insurance coverage. o What will be the maximum amount for which the member is covered. Diagnosis Code : Code used for diagnosis that the patient has undergone.) Co-insurance: A specific percentage of the cost of treatment the member has to pay for all covered medical expenses remaining after the deductible has been met. benefits meaning Medical Services (Service Types . Life. Benefit Code : Code assigned to Benefits.: A member has to pay $5 every time he visits his PCP. o What types of medical services will be covered. Deductible: The minimum amount.e.               65736839.

Self Insured Groups : Some companies like (Eg. AT&T) makes contrat with healthcare companies for adjudicating claims for a fixed sum of money.e. on monthly basis and/or per member basis . Generally observed for Indemnity Plans. Proc/Service Code : Code for particular service coming under particular service type. Drug Code : Code for medication provided as a part of treatment. where in the company (i. AT&T ) provides insurance for its employees by collecting money from them annually ( funding or contribution) .       65736839.Glossary ___________________________________________________________________ Rider : These are add-ons to basic plan at some extra cost and will cover additional benefits. The service is specific whereas service type is generic. The member is expected to consult its PCP first for any kind of health service for HMO care . Primary care Physician : The physicians/doctors providing full range of basic health services to patients.doc Ver 0.00a Page 132 of 150 .for full medical care of an individual. Capitation : Fixed amount of money paid to provider.

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