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HIPAA states that patients with health coverage can reduce or eliminate any pre-existing medical condition limitations imposed when they move to another group health plan.
To help customers comply with requirements, we provide the following HIPAA administration services:

  • Preparing certificates for terminating employees and other plan participants upon notification

  • Ensuring plans are in full compliance by reviewing claims for prior creditable coverage when a pre-existing claim is presented

  • Certifying the receipt of incoming HIPAA certificates and verifying the amount of creditable coverage and any remaining pre-existing time

  • Reviewing all applicants for qualification under HIPAA Special Enrollment and Late Entrant provisions
UMR delivers unique administration services with the most advanced technology available. As HIPAA regulations evolve, we are committed to helping customers understand and implement changes.
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