Information on Electronic Health Insurance Claim-Processing, ERISA and HMO's

Appendix B: Sources of Information and Advice on Specific Health Insurance Problems Page 4

Electronic Claim-Processing

For a copy of the study by Thomas Edison College and the New Jersey Institute of Technology on the development of a computerized, electronic claim-filing and processing system write to Thomas Edison State College, 101 West State St., Trenton, NJ 08680-1176 (Attn: Mark Gordon); include a check for $30.

ERISA

For information on ERISA regulations, write to the Pension and Welfare Benefits Administration, United States Department of Labor, N 5619, 200 Constitution Ave. NW, Washington, DC 20210, or call 1-202-219-8776.

Health Maintenance Organizations

For information on the accreditation of a specific HMO, write to the National Committee for Quality Assurance, 2000 L St. NW, Ste. 500, Washington, DC 20036 (Internet site: http://www.ncqa.org ;telephone: 1-202-955-3500; Fax: 1-202-955-3599).

For a copy of the Health Plan Guide, a publication based on a survey of federal employees concerning HMOs, write to the Center for the Study of Services, 733 15th St. NW, Washington, DC 20005.

To request help with a specific health insurance problem involving an HMO -- where appeals to the HMO itself and to state agencies have been unsuccessful -- write to either the National Committee for Quality Assurance, 2000 L St. NW, Ste. 500, Washington, DC 20036, or to the American Association of Health Plans, Communications Department, 20th St. NW, Ste. 600, Washington, DC 20036.

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