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Category: Informed Flash

FLASH: Simplete Provider Tiers Affect Out-Of-Pocket Costs

May 1, 2019

Simplete plans are tiered health plans that offer Medicare and commercial members flexibility with out-of-pocket costs and provider choices. Members will typically have lower out-of-pocket costs at the time of service when they see Tier 1 providers.  Please make sure you’re charging the correct copay amount based on which tier... View Release

FLASH: Provider Directory Updates through LexisNexis

April 16, 2019

As you know, it is vital your patients have access to accurate, up-to-date information in the provider directory. To ensure this accuracy, the Illinois Department of Human Services, the Illinois Department of Insurance, and the Centers for Medicare & Medicaid Services all require that providers review and update their information... View Release

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