Benefits fraud occurs when providers, facilities, clinics, or individuals intentionally submit claims with inaccurate or misleading information about the services or treatments provided. The most common types of benefits fraud include: Billing for services not rendered Up-coding of goods or services Submitting false claims Unbundling Excessive or unnecessary services Kickbacks Falsifying patient records Co-pay activities […]
READ MOREWednesday, August 19 from 6:30pm to 8:30pm MST Our phone lines and some web applications will be unavailable. We apologize for any inconvenience this may cause.
READ MOREConcerns about COVID-19, the novel coronavirus, may cause employers and employees to wonder about the impact this virus may have on their health benefits plan. As a general rule, group insurance policies will treat illness due to COVID-19 as any other medical emergency. There is no exclusion related to the COVID-19 epidemic versus another type […]
READ MOREAs of October 9, 2019, Enrol-ME online applications are now accepting e-signatures for plan sponsor and members in all provinces and territories. Previously, “wet” signatures were required in most provinces to designate a beneficiary or to confirm spousal information when applying for Optional CI. Due to changes in the regulatory environment, plan members in all […]
READ MOREStarting Monday, September 30, 2019, plan members who use the myGroupSource claims platform will have access to enhanced features on the ‘My Benefits’ page. The ‘My Benefits’ page will now display more information on covered benefits, including: members’ policy number dependent information tool tips an indicator if additional coverage is available Summary information about Life, […]
READ MOREThe Alberta Dental Association and College (ADAC) has released the final version of the new Alberta Dental Fee Guide for January 1, 2018 and insurers will be using this fee guide effective January 1, 2018. For more information, including a copy of the fee guide visit www.dentalhealthalberta.ca. If you have any questions or require further […]
READ MOREOn March 22, 2017, Saskatchewan announced that provincial sales tax (PST) of 6% will apply to group insurance premiums. This change will be effective July 1, 2017. According to the Information Notice issued by the Government of Saskatchewan: the sales tax “…will apply to a ll insurance as defined The Saskatchewan Insurance Act…” guidance on […]
READ MOREThe Federal Government is currently considering taxing employer contributions made to group health and dental plan benefits. At this time, health and dental premiums paid by employers are not taxable benefits for employees. With the proposed changes, employees or employers would pay tax on the health and dental benefits. As individuals, as employees, as an […]
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Download: GroupSource Postal Strike Protocol – June 2016
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Download: Important Extended Healthcare Adjudication Changes – Effective April 2016
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