Author Archives: tandersen

Cigna oddity resolved?

So, here in California at least, all of the Practitioners have been receiving “Cigna election to participate request forms’ to sign and send back to ASH…to reiterate their desire to be a Cigna provider.  Hopefully this will bi-pass any weird … Continue reading

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Kaiser-ASH Situation

ASH just posted a reiteration of how the whole Kaiser arrangement works, I would like to recap it here for you since it is important if you see Kaiser patients via ASH. 1) The current referral situation is this:  Kaiser … Continue reading

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ASH Threshold clarification

Since ASH can be confusing, especially the threshold starting over in the middle of the year versus benefits being per calendar year, I wanted to reiterate a response I had issued to help clarify this policy. The ASH threshold actually … Continue reading

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ASH Threshold time for California providers….

Just a reminder to all of you California ASH providers that the most wonderful time of the year is upon us….threshold time!  You should have recently received a letter about your tier status, hopefully you went up or at least didn’t … Continue reading

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The frustration over provider websites

I find it so frustrating that verifying your provider is listed on the appropriate website has become a full-time job!  In this day and age, not being listed as a provider on-line with various insurance companies you are contracted with can … Continue reading

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The Necessity of Med Pay

It always amazes me when patients don’t have med pay.  What are they thinking?  More importantly, why don’t insurance agents who sold them their auto policy offer them ALL coverage benefits?  Isn’t it in their best interest to try and … Continue reading

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Cigna provider thru ASH or “Acucare?”

I have heard way too many times lately that Acupuncturists need to belong to Acucare to be a Cigna provider?  What in the world is Cigna talking about?  Your contract with ASH is what gains you access to Cigna NOT … Continue reading

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Hows your work comp going?

In California, when we underwent “work comp reform” in 2004. Many of us saw life as we knew it change forever.  Practices folded as the power changed hands to the insurance companies and subsequent review agencies that began denying everything and … Continue reading

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Cigna-ASH FIASCO

As if American Specialty Health (ASH) didn’t have it’s hands in enough, now it is the gatekeeper for Cigna too.  Unfortunately though, it didn’t get the system figured out before taking the reigns. Since it is only partly involved in claims … Continue reading

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Does Aetna really cover acupuncture?

Week after week, patient’s present to our office with their Aetna ID card.  We call to check for acupuncture benefits and are told, time and time again, that they HAVE coverage.  The patient has already done their own research and knows … Continue reading

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