Health Care Reform Coverage & Admin Provisions


Children's Pre-Existing Conditions



Lifetime & Annual Limits



Young Adult Coverage



65 or Older



FSA, HRA, HSA



Appealing Health Plan Decisions



Administrative Simplification


One format and one set of codes for claims, remittance advice, service authorization, eligibility verification, and claims status inquiry.


Doctor Choice & ER Access



By William F. Schaake, CIC, CRM  © 2012