Business transparency

Understanding our procedures

How we do business

About benefits

Coordination of benefits

If you have coverage from more than one health plan, coordination of benefits helps determine which plan is primary and pays first and which plan is secondary.

Explanation of benefits

We send you an an EOB statement with details about what medical treatments/services we've paid for you and what you will have to pay, according to your policy.

Additional resources

Grace period and claims pending

Medical necessity & prior authorization timeframes and enrollee responsibilities

Out-of-network liability and balance billing

This information pertains only to our QHP (Qualified Health Plan) plans.