GIRS was requested to investigate a denied Benefit Verification (BV) for a certain Biologic and then to develop Medicaid[…]
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2014 Payer Advocacy Success Case 1
One of our clients has contracted with us to coordinate the benefit verification services of the hotline with Payer[…]
Read moreJurisdictions E and L A/B MAC awards and transitions are under way…
The U.S. Government Accountability Office (GAO) denied the two protests that had been pending against the Jurisdiction E A/B MAC[…]
Read moreHealth Insurance Exchanges: Product Coverage Issues
As states establish health insurance exchanges, insurers are making benefit design and formulary decisions that will impact product coverage. Pharmaceutical,[…]
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