| # |
Form |
Change |
Attachment? |
Current Location |
Reason |
| 1 |
All templates |
Removed Section 3, "So far this year, how much have you spent toward your deductible and the yearly limit on your out-of-pocket costs?" and incorporated the information into another part of the template |
|
|
Response to comments to simplify/reduce template size |
| 2 |
All templates |
Removed Section 4, "A reminder about Medicare preventive services" |
|
|
Response to comments to simplify/reduce template size |
| 3 |
All templates |
Streamlined language for reporting periods with no claims activity |
|
|
Response to comments to streamline templates |
| 4 |
All templates |
Streamlined language for appeals |
|
|
Response to comments to streamline templates |
| 5 |
All templates |
Streamlined language for deductibles |
|
|
Response to comments to streamline templates |
| 6 |
All templates |
Streamlined language for denials |
|
|
Response to comments to streamline templates |
| 7 |
All templates |
Streamlined language for yearly limits |
|
|
Response to comments to streamline templates |
| 8 |
All templates |
Changed column headings to "Your share" and "Plan share" in totals sections and details for claims processed |
|
|
To make it easier for beneficiaries to follow |
| 9 |
All templates |
Added to instructions that plans are not required to send an EOB to dual eligible members |
|
General Instructions: 1. Instructions for organizations that send monthly EOBs |
Was not included in previous template instructions |
| 10 |
All templates |
Changed instructions to require plans to send monthly EOBs every month instead of only during months when claims are processed |
|
General Instructions: 1. Instructions for organizations that send monthly EOBs |
To ensure consistent communication between plans and beneficiaries |
| 11 |
All templates |
Changed instructions to require plans to account for any benefit information that cannot be included timely in a following reporting period |
|
General Instructions: 2. Claims that must be included within the EOB |
To ensure that plans are providing beneficiaries with complete and accurate information about their benefits |