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Insurance Update - 3.9.2016
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Aetna – The OSCA and three of our members met with Aetna on March 3rd to discuss denial issues. It proved to be VERY insightful. We were able to expose an issue within Aetna’s process for Honda employees.  We walked out with action steps that we believe will yield a relief in the current denial environment. We will have more information on this in the coming weeks.


Ohio Health Choice – We are continuing our conversation with them.  They are helping us understand why providers in the Columbus area are not being viewed as In-Network with NGS/Coresource.  We are looking for providers to help supply us with the evidence to support our position. – No New Update


Custom Design Benefits – With the acquisition of MMO we will reconnect with Custom Design Benefits to start talks up again.


HealthSpan – It was announced on March 2nd that HealthSpan was acquired by Medical Mutual. This would explain why they were stalling to meet with us. As noted below we will continue to work with MMO.


Care Source – We held our meeting on January 27th and it proved to be VERY successful. We have sent a follow-up email with more supporting information.  We are awaiting the 30 day update from CareSource.


Paramount / ProMedica- Had a great meeting with the CEO of ProMedica.  He was very open to how chiropractic could fit in to their benefits.  He even commented about adding chiropractic to their own plan design. We will be following up with him and his team in the next 30 days. – No Update


Molina – Still trying to rekindle these talks.  Still not sure what causes them to stop communicating.  No New Update


MMO – We have confirmed a meeting for March 16th.  – No Update  

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