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Compliance Alert: Machine-Readable TiC File Requirement Is Looming

… or issuer and in-network providers. Historical payments to, and billed charges from, out-of-network (OON) providers. For privacy purposes, historical payments must have a minimum of twenty entries. Detailed network negotiated rates and historical net prices for all covered prescription drugs by plan or issuer at the pharmacy location level. The MRF requirement was originally effective on January 1, 2022, but the August FAQ guidance delayed the date for the in-network and out-of-network data to be provided until July 1, 2022, and delayed data for prescription drugs indefinitely pending additional guidance. Content to Disclose Starting …

https://www.epicbrokers.com/insights/compliance-alert-tic-file-requirement/

EPIC Invests in Atlanta as Southeast Regional Hub

New Perimeter Center Office to Accommodate Growth EPIC has invested in Atlanta as a Southeast regional hub. Centrally located at 5909 Peachtree Dunwoody Road, Suite 800, Atlanta, GA 30328 in Palisades, the new 14,400-sq. ft. office will accommodate the company’s accelerated growth and resource expansion plans. “We launched this new office design to meet the needs of today’s workforce with a central location, amenities for employees and multiple work styles in mind,” says Adam Meyerowitz, President, Southeast & Midwest Region for EPIC Insurance. EPIC Palisades features an open, fluid concept with both collaborative shared workspaces and private …

https://www.epicbrokers.com/insights/atlanta-southeast-regional-hub/

Risk & Insurance Magazine Recognized Five of our Incredible Brokers

… that helps present his clients’ companies both favorably and in a timely fashion. Gary Lavery, Manufacturing Lavery is known for providing strong client communication and education. He has a commanding knowledge of the policies and is able to educate clients as needed. He also takes the time to explain the details and knows the new laws and regulations important to the manufacturing industry. Tony Lorber, Real Estate Lorber worked with a client with many properties in an area hit hard by extreme weather to create a modeling tool that isolates various hellscapes (fire, flood, earthquakes, hurricanes) at the micro-location

https://www.epicbrokers.com/insights/risk-insurance-magazine-recognized-five-of-our-incredible-brokers/

Ukraine Russia Situation Updates

The terrifying situation in Ukraine has been on my mind and in the thoughts of our collective team. Our mission remains the same – to support our clients and their employees no matter where they are in the world, no matter the situation. In times of crisis, we look to the many services available through our team and our vendor partners to help people in their time of need. Viewpoints from Matt Marmorek We encourage all employers to closely watch the situation on the ground and monitor the location of any employees who are assigned to or working in the affected …

https://www.epicbrokers.com/insights/ukraine-russia-situation-updates/

Battle Lines Are Being Drawn on the No Surprises Act

… information to the portal, including the initiating party’s selected independent dispute resolution entity (IDRE) and conflict-of-interest attestation, information about the furnished medical items and services (including dates, location and additional details), along with the qualifying payment amount (QPA) for the furnished items and services. A list of certified dispute resolvers is available and costs range from $299 to $670 for each submission, although it is still unclear how these fees will be paid or by whom. The No Surprises Act is on a pendulum. I believe that this law is a step in the right direction …

https://www.epicbrokers.com/insights/viewpoints-no-surprises-act/

San Francisco HCSO Top-Off Payments Due February 28, 2022

… quarter if it meets the following conditions: Employs one or more workers within the geographic boundaries of the City and County of San Francisco (City), Is required to obtain a San Francisco business registration certificate, and Is a for-profit business with 20 or more persons performing work at any location, or a non-profit organization with 50 or more persons performing work at any location. Covered Employees Generally, covered employers must make Expenditures for employees who regularly work at least eight hours per week in San Francisco and have been employed for at least 90 calendar days. Changes Due …

https://www.epicbrokers.com/insights/sfhsco-top-off-payments-due-february-28-2022/

HHS Issues FAQs on HIPAA Privacy & COVID-19 or Flu Vaccine Status

… Requesting or requiring existing or prospective employees to sign a HIPAA authorization form for a provider to disclose the individual’s vaccination record to their employer; Requiring employees to wear a mask while in the employer’s facility, on the employer’s property, or in the normal course of performing their duties at another location; and/or Requiring employees to disclose whether they have received a COVID-19 vaccine in response to queries from current or prospective patients. Again, note that in each of these examples, other federal or state laws may come into play with respect to what …

https://www.epicbrokers.com/insights/hhs-faqs-hipaa-privacy-covid-19-flu-vaccine-status/

Q3 2021 Winery Report

… a claim…it is always possible to drop the claim if it turns out the fruit or other property was not actually damaged. Review your insurance policies to determine what supporting materials you need to file a claim. For smoke taint claims, for example, policies often require information regarding the location of the grapes, when they were affected, and for how long. Many insurance companies also require lab tests to confirm the presence of smoke taint and some will only accept results from preapproved labs. If the grapes are crushed, some policies require that juice from different lots be segregated …

https://www.epicbrokers.com/insights/q3-2021-winery-report/