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Health Republic EOBs and subsequent payments


If any of your patients were Health Republic beneficiaries at the end of 2015, you have probably been receiving EOBs (Remittance notices) regarding the unpaid claims from that time period.

 As you probably recall, Health Republic closed November 2015, leaving many claims unpaid.  Health Republic was one of the payers on the NYS Health Benefit Exchange.

 New York State designated a liquidator who is now finalizing its list of outstanding claims, thus sending EOBs to the practices who are potentially owed money.  The liquidator is sending EOBs to confirm the amount owed to all practitioners.

 Once they have the final amount owed, they will calculate the amount they have to disburse.  The liquidator will assess the assets of Health Republic and will first pay for the administration of the liquidation process and then pay a portion of the claims that were submitted by practitioners.  No assurance has been given as to when or to what extent any claims may be paid.  Updates will be posted on the website. http://www.healthrepublicny.org/faq.php

 Hold onto and review your EOBs.  If you see an issue you would like to appeal, you have 60 days to do so.

 The resolution of this liquidation is not expected for an extended period of time.

 We are sending this email to help you understand what you have been receiving.

 If you have any questions, visit the Health Republic website, or email us.  We are happy to assist you in any way we can.

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If any of your patients were Health Republic beneficiaries at the end of 2015, you have probably been receiving EOBs.

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