Larry Simon

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    5/12/25 Update:

    We have been meeting with the Third-Party Administrator for CYBHI, Carelon Behavioral Health, in order to make sure that the next round of updates all conform to their established imports and processes. We are starting development on additional features for this project, which will be released as soon as they pass testing. 

    1. Adding the ability to prompt and/or require parents to confirm their insurance information as part of Parent Data Confirmation. 
    2. Adding additional fields to hold Subscriber information to the Insurance table.
    3. The fields to be added will be informed by the Insurance file requirements controlled by Carelon. 
    4. Insitituting a drop-down menu with pre-poulated medical insurance carriers for easier data population and management.
    5. The list for Insurance type M (Medical will be pre-populated from the list provided by Carelon. 
    6. There will be an option for "Other" that will allow a different insurance carrier to be entered into a…
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    Larry Simon commented  · 

    Hello,

    We just read the released notes for the updated Medical Node in Student Data. One question/potential concern we have is that it doesn't appear to have any way to store the primary subscriber's contact info (name, address, etc) or link to an existing specific contact on the student record to define them as the insurance information holder. Our understanding of the submission process from Carelon/DHCS for CYBHI is that the following fields for the insurance subscriber/policyholder will be required to submit claims:
    First name
    Middle name
    Last Name
    Street Address
    City
    State
    Zip

    Are you able to provide any feedback there or if these updates were vetted against Carelon/DHCS?

    Thank you

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