The second COVID-19 presumption case has been decided! On November 3, 2021, Arbitrator Cantrell issued a decision in the case of Tonia Dalton v....

  Two state insurance guarantee funds challenged CMS’ definition of a “primary plan” in order to exclude themselves from conditional payments and Section 111 reporting...

  “Every sunset brings the promise of a new dawn.” – Ralph Waldo Emerson In the January 2021 legislative session the General Assembly approved HB...

  I recently wrote about Section 111 Total Payment Obligation to Claimant (TPOC) reporting in bifurcated settlements. Given the ambiguity in the NGHP User Guide,...

  The Medicare Secondary Payer Recovery Portal improvements were rolled out on July 13, 2020. New features provide authorized users with access to information regarding...