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    ACA Market Stabilization Rule

    By: Melinda Martinson, Esq. on Apr 13, 2017

    CMS has agreed with comments filed by MSNJ and clarified in its recently finalized Market Stabilization Rule that if an individual pays outstanding premiums in order to avoid a gap in coverage the insurer must pay the outstanding medical claims that were filed during the unpaid period. Physicians are at risk of non-payment during months two and three when an individual stops paying premiums. Now, if the arrearage is cured to avoid a gap in coverage, the claims must also be paid. 

     

    Released: April 13, 2017, 8:48 am | Updated: May 16, 2017, 6:52 am
    Keywords: Announcements


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