Posts Tagged ‘Evidence of Coverage’

CODY launches CodySoft® Plan Benefit Package Module®

New CodySoft® module revolutionizes the way health plans manage data TAMPA, Fla. (Nov. 28, 2018) — Adding to its already extensive list of tools and services for health plan marketing and compliance departments, CODY has launched the CodySoft® Plan Benefit Package (PBP) Module®. The module allows plans to import data from multiple sources, including directly…

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4 ways to reduce – or eliminate – errors in your ANOCs and EOCs

The accuracy of Annual Notice of Changes (ANOC) and Evidence of Coverage (EOC) documents is an important requirement for all health plans. The Centers for Medicare and Medicaid Services (CMS) takes errors in these documents very seriously and penalties are given to health plans that distribute documents with errors. CMS recently announced changes to the…

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Are you Outsourcing your ANOC and EOC Creation to the Best People for the Job?

Preparing materials for the Annual Enrollment Period (AEP) – namely Annual Notice of Changes (ANOC), Evidence of Coverage (EOC), and Summary of Benefits (SB) documents – can be a time-consuming, labor-intensive process wrought with compliance risk. As a result, many health plans opt to outsource the creation of these documents to a third-party vendor. There…

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Errors in ANOCs and EOCs could cost up to $55 per affected enrollee

Over the last several years, The Centers for Medicare and Medicaid Services (CMS) has taken an increasingly tough stance on health plans that distribute Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) documents with unclear and/or inaccurate benefit information. CMS is no longer sending health plans warnings for these errors; they are imposing…

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Document Accuracy Assessment helps identify errors before CMS

The creation of your Annual Notice of Changes (ANOC) and Evidence of Coverage (EOC) document is a very challenging process and can be a strain on already over-taxed resources.  Ensuring the accuracy of these documents is extremely important, as CMS has taken an increasingly tough stance on plans that distribute documents with unclear and/or inaccurate…

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How Accurate ANOCs and EOCs can Help Health Plans Retain Members

The Henry J. Kaiser Family Foundation recently published an Issue Brief on its website titled “Medicare Advantage Plan Switching: Exception or Norm?” The brief shared that 11 percent of Medicare Advantage plan enrollees in 2013 voluntarily switched to another plan in 2014. It also addressed various factors that impacted switches to other plans, such as…

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Putting Together Your AEP Team

For Medicare plans, the 2016 Annual Enrollment Period (AEP) is quickly approaching. This means that preparations should be well underway to ensure that member marketing materials will be accurate, on schedule and in compliance. This includes all pre- and post-enrollment materials and the annual notification of change (ANOC) and evidence of coverage (EOC).

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Surviving the 2015 AEP Materials Creation Process – Part 2 of 2

Medicare plans are mid-way through the process of creating Annual Election Period (AEP) materials – namely, Annual Notification of Change (ANOC) and Evidence of Coverage (EOC) documents – that are due to members by the end of September. At this stage of the game, tension is running high. By now, many health plans have likely…

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