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Re: [CRN-L] Insurance Question

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  • HPMSI@aol.com
    This would definitely have to be regional in nature.........here in DC - 65% of our patients are covered by FEP Blue Shield. And, if they aren t, they re
    Message 1 of 13 , Jun 2, 2005
      This would definitely have to be regional in nature.........here in DC - 65%
      of our patients are covered by FEP Blue Shield. And, if they aren't,
      they're covered by one large IPA we have here, or Medicare.

      Karen Hurley

      In a message dated 6/1/2005 10:28:35 P.M. Eastern Standard Time,
      ddmarcus@... writes:

      State Insurance Commissioners only have authority over insured products and
      not ERISA self-insured products. Their market statistics only give you a
      very limited view of the market because most employment-based health
      insurance today is of the ERISA variety which constitutes somewhere around
      65-70% of the market. Supplement your look at the state data by asking
      which large local employers use the insurer to administer their plans. The
      information is not particularly sensitive; it's not really possible or even
      desirable to keep it confidential that an insurer is administering General
      Motors' health plans.

      David D. Marcus






      [Non-text portions of this message have been removed]
    • Don Self, CSS, BFMA
      Karen - is that because an unbelievably high percentage of people in DC works for the government, school or church and the number, which are not considered
      Message 2 of 13 , Jun 2, 2005
        Karen - is that because an unbelievably high percentage of people in DC
        works for the government, school or church and the number, which are not
        considered ERISA plans?


        Don Self, CSS, BFMA
        Don Self & Associates, Inc.
        305 Senter Avenue, Whitehouse, TX 75791
        www.donself.com mailto:donself@...
        903 839-7045 fax 903 839-7069
        see where I'll be visiting at http://www.donself.com/seminarsframe.html


        ----- Original Message -----
        From: <HPMSI@...>
        To: <CRN-L@yahoogroups.com>
        Sent: Thursday, June 02, 2005 5:48 AM
        Subject: Re: [CRN-L] Insurance Question


        >
        > This would definitely have to be regional in nature.........here in DC -
        > 65%
        > of our patients are covered by FEP Blue Shield. And, if they aren't,
        > they're covered by one large IPA we have here, or Medicare.
        >
        > Karen Hurley
        >
        > In a message dated 6/1/2005 10:28:35 P.M. Eastern Standard Time,
        > ddmarcus@... writes:
        >
        > State Insurance Commissioners only have authority over insured products
        > and
        > not ERISA self-insured products. Their market statistics only give you
        > a
        > very limited view of the market because most employment-based health
        > insurance today is of the ERISA variety which constitutes somewhere
        > around
        > 65-70% of the market. Supplement your look at the state data by asking
        > which large local employers use the insurer to administer their plans.
        > The
        > information is not particularly sensitive; it's not really possible or
        > even
        > desirable to keep it confidential that an insurer is administering
        > General
        > Motors' health plans.
        >
        > David D. Marcus
        >
        >
        >
        >
        >
        >
        > [Non-text portions of this message have been removed]
        >
        >
        >
        > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
        > CLICK ME LINKS:
        > CodeCorrect 10% off for CRN Members when you sign up at
        > http://crn.codecorrect.com 15% off for Gold Members - contact
        > Laureen@... for details.
        >
        > Optimize physician service reimbursement compliantly:
        > http://www.cfs-billing.com
        >
        > CEU TeleCourseTM Training & Videos
        > http://www.crn-institute.com
        >
        > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
        >
        > CRN Homepage:
        > http://www.codingandreimbursement.net
        > Become a CRN Gold Member!
        > http://www.codingandreimbursement.net/GoGold.htm
        > Advertiser Options
        > http://www.codingandreimbursement.net/advertising.htm
        >
        > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
        >
        > Yahoo! Groups Links
        >
        >
        >
        >
        >
        >
        >
      • David Marcus
        That s true. It s amazing how health care still remains a local business in many ways. ... From: CRN-L@yahoogroups.com [mailto:CRN-L@yahoogroups.com] On
        Message 3 of 13 , Jun 2, 2005
          That's true. It's amazing how health care still remains a local business in
          many ways.



          -----Original Message-----
          From: CRN-L@yahoogroups.com [mailto:CRN-L@yahoogroups.com] On Behalf Of
          HPMSI@...
          Sent: Thursday, June 02, 2005 5:48 AM
          To: CRN-L@yahoogroups.com
          Subject: Re: [CRN-L] Insurance Question


          This would definitely have to be regional in nature.........here in DC -
          65%
          of our patients are covered by FEP Blue Shield. And, if they aren't,
          they're covered by one large IPA we have here, or Medicare.

          Karen Hurley

          In a message dated 6/1/2005 10:28:35 P.M. Eastern Standard Time,
          ddmarcus@... writes:

          State Insurance Commissioners only have authority over insured products and
          not ERISA self-insured products. Their market statistics only give you a
          very limited view of the market because most employment-based health
          insurance today is of the ERISA variety which constitutes somewhere around
          65-70% of the market. Supplement your look at the state data by asking
          which large local employers use the insurer to administer their plans. The
          information is not particularly sensitive; it's not really possible or even
          desirable to keep it confidential that an insurer is administering General
          Motors' health plans.

          David D. Marcus






          [Non-text portions of this message have been removed]



          ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
          CLICK ME LINKS:
          CodeCorrect 10% off for CRN Members when you sign up at
          http://crn.codecorrect.com 15% off for Gold Members - contact
          Laureen@... for details.

          Optimize physician service reimbursement compliantly:
          http://www.cfs-billing.com

          CEU TeleCourseTM Training & Videos
          http://www.crn-institute.com

          ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

          CRN Homepage:
          http://www.codingandreimbursement.net
          Become a CRN Gold Member!
          http://www.codingandreimbursement.net/GoGold.htm
          Advertiser Options
          http://www.codingandreimbursement.net/advertising.htm

          ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

          Yahoo! Groups Links
        • HPMSI@aol.com
          Yes. ____________________________________ In a message dated 6/2/2005 9:39:38 AM Eastern Daylight Time, donself@donself.com writes: Karen - is that because an
          Message 4 of 13 , Jun 2, 2005
            Yes.


            ____________________________________


            In a message dated 6/2/2005 9:39:38 AM Eastern Daylight Time,
            donself@... writes:

            Karen - is that because an unbelievably high percentage of people in DC
            works for the government, school or church and the number, which are not
            considered ERISA plans?


            Don Self, CSS, BFMA
            Don Self & Associates, Inc.
            305 Senter Avenue, Whitehouse, TX 75791
            www.donself.com mailto:donself@...
            903 839-7045 fax 903 839-7069
            see where I'll be visiting at http://www.donself.com/seminarsframe.html


            ----- Original Message -----
            From: <HPMSI@...>
            To: <CRN-L@yahoogroups.com>
            Sent: Thursday, June 02, 2005 5:48 AM
            Subject: Re: [CRN-L] Insurance Question


            >
            > This would definitely have to be regional in nature.........here in DC -
            > 65%
            > of our patients are covered by FEP Blue Shield. And, if they aren't,
            > they're covered by one large IPA we have here, or Medicare.
            >
            > Karen Hurley
            >
            > In a message dated 6/1/2005 10:28:35 P.M. Eastern Standard Time,
            > ddmarcus@... writes:
            >
            > State Insurance Commissioners only have authority over insured products
            > and
            > not ERISA self-insured products. Their market statistics only give you
            > a
            > very limited view of the market because most employment-based health
            > insurance today is of the ERISA variety which constitutes somewhere
            > around
            > 65-70% of the market. Supplement your look at the state data by asking
            > which large local employers use the insurer to administer their plans.
            > The
            > information is not particularly sensitive; it's not really possible or
            > even
            > desirable to keep it confidential that an insurer is administering
            > General
            > Motors' health plans.
            >
            > David D. Marcus
            >
            >
            >
            >
            >
            >
            > [Non-text portions of this message have been removed]
            >
            >
            >
            > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
            > CLICK ME LINKS:
            > CodeCorrect 10% off for CRN Members when you sign up at
            > http://crn.codecorrect.com 15% off for Gold Members - contact
            > Laureen@... for details.
            >
            > Optimize physician service reimbursement compliantly:
            > http://www.cfs-billing.com
            >
            > CEU TeleCourseTM Training & Videos
            > http://www.crn-institute.com
            >
            > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
            >
            > CRN Homepage:
            > http://www.codingandreimbursement.net
            > Become a CRN Gold Member!
            > http://www.codingandreimbursement.net/GoGold.htm
            > Advertiser Options
            > http://www.codingandreimbursement.net/advertising.htm
            >
            > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
            >
            > Yahoo! Groups Links
            >
            >
            >
            >
            >
            >
            >




            ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
            CLICK ME LINKS:
            CodeCorrect 10% off for CRN Members when you sign up at
            http://crn.codecorrect.com 15% off for Gold Members - contact Laureen@...
            for details.

            Optimize physician service reimbursement compliantly:
            http://www.cfs-billing.com

            CEU TeleCourseTM Training & Videos
            http://www.crn-institute.com

            ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

            CRN Homepage:
            http://www.codingandreimbursement.net
            Become a CRN Gold Member!
            http://www.codingandreimbursement.net/GoGold.htm
            Advertiser Options
            http://www.codingandreimbursement.net/advertising.htm

            ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

            Yahoo! Groups Links












            Karen A. Hurley, CMM, CPC, CCS-P
            President, HPMSI
            PO Box 159
            Waldorf, MD 20604-0159
            Tel: (301) 870-8450
            Fax: (240) 368-0059
            EMail: hpmsi@...
            Web: www.karenhurley.com



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            [Non-text portions of this message have been removed]
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