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RATE AREA 4 / RAF 0.90 For effective dates July 1? December 1, 2013, Medical Plan Rates Co-payment plans $5 Co-payment Plan $15 Co-payment Plan Age EE only EE’S EE+C EE’S+Age.GE.
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What is rate area 4 raf?
Rate Area 4 RAF refers to the fourth rating area under the Risk Adjustment Factor program. It is a geographical region used in calculating risk adjustment payments for health insurance plans.
Who is required to file rate area 4 raf?
Health insurance plans operating within Rate Area 4 are required to file Rate Area 4 RAF information as part of the risk adjustment process.
How to fill out rate area 4 raf?
To fill out Rate Area 4 RAF, insurance plans need to provide specific demographic and clinical information about their enrolled members in Rate Area 4. This information is used to calculate and adjust risk scores for accurate payment adjustments.
What is the purpose of rate area 4 raf?
The purpose of Rate Area 4 RAF is to ensure fair and accurate risk adjustment payments among health insurance plans operating within the geographical boundaries of Rate Area 4. It helps balance risk and prevent adverse selection.
What information must be reported on rate area 4 raf?
Rate Area 4 RAF requires health insurance plans to report demographic details such as age, gender, location, and clinical information like diagnoses, procedures, and prescription drug usage. All information should be accurate and up-to-date.
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