The Affordable Care Act (ACA) states that insurance payers, including both carriers as well as self-funded groups, must create SBC documents for their insureds. This mandate may pose a few questions to Third Party Administrators (TPAs) in the way they provide their service.
The time is ripe for health plans to strategize their options to meet the PPACA-required changes for Summaries of Benefits and Coverage (SBCs). In another six months, it will be mandatory for health plans to provide timely, tracked, uniform SBCs.
by Stephanie Castro2012
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