Employer-Paid

You may appeal to the IRS Independent Office of Appeals if you believe your refund claim reporting ERC eligibility was timely filed on or before January 31, 2024.

OptumRx has used automated systems to try to encourage patients to follow their doctors' health advice, in an effort to reduce the impact of patients' ineffective use of prescribed medications.

The Elevance unit's commercial plans may deduct the penalty from their allowed amounts for claims that involve the use of out-of-network providers.

Research shows that 70% of workers expect support for their physical, mental and financial health.

The author looks at why plan reimbursement rates for out-of-network are so low.

Employers are demanding more actionable data. Regulators are tightening expectations. Members are overwhelmed by confusing cost information they still can't use in the moments that matter most.