BluePeak reviews over 300 member material documents annually.
BluePeak has a team of experts that are trained and experienced in reviewing materials for common (and uncommon) errors.
BluePeak incorporates best practices in every step of the process including comparing materials to the bid and all current regulatory references.
BluePeak reviews a broad range of materials including:
Required Materials with an Enrollment Form
➤ Summary of Benefits
Required Materials for New and Renewing Enrollees at Time of Enrollment and Thereafter
➤ Annual Notice of Change (ANOC)
➤ Evidence of Coverage (EOC)
➤ Low Income Subsidy (LIS) Rider
Translated Materials
Required Website Materials
BluePeak will review Plan’s website for adherence to the general website requirements and required contents as stated in the MCMG, including the following documents:
➤ Enrollment instructions and forms
➤ Summary of Benefits
➤ ANOC/EOC (most current version)
➤ Provider and/or pharmacy directory
➤ CMS Star Ratings document
➤ 2021 Comprehensive Formulary
➤ Validate Marketing IDs on each page
➤ Disclaimers