The CMS provides issuers with a number of review tools to check their plans for errors in the QHP application…
Author: Thejesh Kumar C
Thejesh has vast experience in claim benefit management, ANSI X12 transactions, HL7, Medicare & Medicaid solutions, Enrolment and other key areas. He is an avid sports lover and has played professional cricket at the junior level. He also loves to travel in his free time.
QHP Certification Guidelines for Payers
The Patient Protection and Affordable Care Act (PPACA) and applicable regulations assert that health plans, including SADPs, must meet a…
An Introduction to Qualified Health Plan
The Affordable Care Act (ACA), defines QHP as an insurance plan certified by the Health Insurance Marketplace which provides Essential Health…