Physicians are encouraged to check Covered California's provider database in July July 8, 2013 Managed Care Health Care Reform, Health Insurance Exchange, Affordable Care Act, Covered California 0 As previously reported, there remain some uncertainties around the process of physician contracting with exchange plans. Beginning sometime in July, the exchange should alleviate much of the uncertainty as to who is and is not considered to be an exchange provider. This is because Covered California will be unveiling a centralized online provider database for the first time in July. Using this database, exchange patients will be able to see which providers are included in the respective exchange plans’ networks. This centralized database will also be utilized by the exchange’s eligibility and enrollment consumer interface. During a demonstration of the interface at the exchange’s June meeting, the user was able to specify preferred providers during the plan selection process. The inclusion of preferred providers was factored into the system’s plan recommendations for the consumer, and the selected providers were listed at the plan selection screen for each plan. CMA hopes to have any issues related to inappropriately listed physicians resolved before Covered California’s consumer interface goes live on October 1. When the provider database is launched, which Covered California officials have said would be sometime in July, physicians are encouraged to check the directory to confirm for which, if any, exchange plans they are identified as a participating provider. CMA will provide additional details on this database as they are released. Comments are closed.
