Medical Marijuana: DPH Memo to Public Health Council (pdf)

3/29/2013

of the Public Health Council FROM: DPH Medical Marijuana Work Group1 DATE: April 10, 2013 RE …

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Neighborhood_contract_nov2010

3/20/2013

. 3. Under Section 5.5, a Plan member’s entitlement to services ceases upon the effective date … to be retroactively disenrolled, services that are provided following the retroactive disenrollment date might … one-year term on the anniversary of the Agreement’s effective date (recited in the introduction), unless …

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HNE_contract_nov2010

3/20/2013

Relationship/Definitions. 1. Section I.C makes the Agreement effective on the date the PCP has been … schedule in effect on the date services are performed, and that the fee schedule may be subject to change … provides a 180-day period from date of service for submitting claims, and references the process set forth …

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BMC_HealthNet_analysis_2012

3/20/2013

days from the date of service. Claims submission procedures are set forth in the Provider Manual … of the Agreement’s effective date (recited in the introduction), unless terminated at the end of a term by either …

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HPHC_contract_nov2010

3/20/2013

to provide services later than his or her desired termination date and a new provider being unable … was not a Member on the date of service. The Plan has not agreed to a time limit for these claims payment … between the date of service and the date of the Plan’s recoupment. [HPHC Comment: The HPHC Claims Audit …

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FallonAnalysis2007

3/20/2013

submission of claims within 60 days of the date of service, with the only exception being claims which …

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UnitedHealthcare_analysis_2012

3/20/2013

this commitment. 3. Claims must be submitted to United within 90 days of the date of service. If United … communication) within 90 days from the date of publication. b. If there is a substantial change in the fee … following the date of payment. Physicians will want to make sure that their office systems or outside …

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NetworkHealthAnalysis2007

3/20/2013

shall cease upon the effective date of disenrollment from the Plan. Physicians may wish to review … a retroactive disenrollment date will not be reimbursed. 14. According to Section 5.8, physicians may refuse …

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Tufts_Analysis_2012

3/20/2013

at Tufts rates long after a desired termination date. 10. Section 14.A requires specialists to provide …. The Contract Year corresponds to Tufts’ fiscal year; providers may wish to ascertain that date in order … that payments will be made according to the fee schedule “in effect on the date the service is rendered …

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Aetna_analysis_2012

3/20/2013

the business practice changes for an additional year, until June 2, 2008. As of that date, Aetna … and Member Billing. 1. Section 4.1.1 recites a 120-day time period for submission of claims from date … of the Agreement is a specified period from the effective date recited in the Introduction, with automatic …

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