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HCR Update: EHR Transactions, Coverage Summaries and Material Modifications

Aug 22, 2011

Health Care Reform Update


August 19, 2011



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Law calls for a single set of electronic transactions

The health care reform law calls for a single set of operating rules and standards for electronic health care transactions that will be introduced in three phases.

Proposed rules on coverage summaries and material modification notice released this week

On August 17, federal regulators released a Notice of Proposed Rulemaking on the summary of coverage and benefits, coverage facts label, uniform glossary and 60-day notice of material modification.

We are sending group size survey to customers with up to 125 subscribers  

Before we can figure out medical loss ratio, we need to know if our customers are considered small or large group under the definition of the rules. So we're going to survey selected customers beginning in August 2011.


Now you have a single, reliable resource for health care reform information.

anthem.com/ca/healthcarereform

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