PPT-All Payer All Claims (APAC) Technical Advisory Group

Technical Advisory Group March 20 2024 To provide verbal public comment send a ZOOM chat message to the meeting host Ashley Walchli or text 5033856542 and request public comment OHA welcomes all participants If you have any questions. 1 Payer information Emdeon payer information* Paper claim mailing address Billing provider ISA-08 GS-03 Keystone Health Plan East (KHPE) Independence QCG (previously YXG) KHPE POS 54704 95056 SX055 All-Payer Claims Database. Overview. October 2015. MA All-Payer Claims Database (MA APCD). Intended to simplify the process by which payers submit claims data to various MA state agencies. State agencies required, if feasible to use the MA APCD before requesting data directly from payer. for Practice Insight Authorized Resellers. Martha Johnson, Dir. Of Payer Development. Donna Anderson, Supervisor of . EDI Enrollment. Jes Wettstein, EDI Enrollment Specialist. Jessica Moran, EDI Enrollment Specialist. April. . 2. 5. , 201. 5. Presented by: . Aimee . Heckman. OP 15 . Billing Manager. General Session. Using Data to Renegotiate Your Payer Contracts. PLAN . Track and monitor your contracts. DO . Value current contracts by assessing fee schedules. in overall insurance . bussines. October 2015. Madalin Rosu. 2. Claims = Insurance = Complexity. In order to improve customer service, insurers must progress from a transaction focus to an interaction focus. Technical Assistance Group (TAG) . July 9, 2013. AGENDA. 2. General Update. Testing Version 3.0. Data Release. Data Intake Governance Committee. Highlight of the Month – Preliminary ETG Results. General Update . South Belfast 17. th. November. Attendance details. Newry & Mourne, Armagh & Dungannon. Attendance details. Venues. Key Players. Local Advisory Groups Pilot. Initial Feedback. . -Welcomed opportunity . By: Faith Davis. Resolved: The United States has a moral obligation to adopt a single-payer healthcare system. Single-payer: noting or relating to a healthcare or health insurance system in which the government or a publicly owned and regulated agency pays all medical costs from a single fund.. Claim Submission Tips. Provide complete member . . information:. Member ‘s Name. Member’s Date of Birth. Member’s ID Number. Member’s Address. It’s always important to verify that the information provided by the member matches the member’s ID card. Watch for name variations and changes. It is also important to verify eligibility prior to services being rendered, unless an urgent/emergent situation. Problems with member information could cause an unnecessary delay or possible claim denial. . Work Group Presentations ESSA Advisory Group_08.25.2016 ESSA Assessment work group update Peter Zutz – Work Group Lead ESSA Assessment Workgroup Summary Meetings: #1 – 8/8/16; #2: 9/2/16; #3: TBD Kay Tillow, All Unions Committee for SP. Brad Zehr, Boston University School of Medicine. Andrea DeSantis, DO AAFP Single Payer Member interest Group. . . . Goals of this Workshop. Tips for getting into the game: Identifying existing (or the potential to create new) forums for organizing around the topic of Single Payer within your professional organization.. 1PageIntroductionThis beginning chapterwill provide an introduction toformingrelationships andworking on contractswith your commercial payers We will cover the basics of what payer contractingis anove 1. . WILD!!. Presented by:. Day Egusquiza, President. AR Systems, Inc. & Patient Financial Navigator Foundation, Inc. . “. The mind is a flexible mirror. Adjust it to see a better world” Amit Ray. April 2013. Project Limits. End Project. Begin Project. US 25 - Project Flow. 1. st. Citizen Advisory Group meeting. 1. st. Public Meeting. 2. nd. Citizen Advisory Group meeting. 3. rd. Citizen Advisory Group meeting.