Evergreen Health
ICE Enhancements to Support Evergreen Health
There were many extensive enhancements made throughout ICE to fit Evergreen Health. Examples include:
- Upgrades that allow for new electronic data interchange (EDI) requirements;
- Development of WebEnroll, the online tool that enables individuals to sign up off-exchange;
- Full branding of the portal to the Evergreen Health color scheme;
- Addition of online member billing; and
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Portal viewing on mobile devices and tablets.
First Evergreen Health customer call conducted by Chris Herzog, Claims Analyst, CoreSource, Baltimore.
With CoreSource support, Evergreen Health launched health plans on Maryland exchange
CoreSource provided months of support and enrollment preparation to Evergreen Health Co-op so that our new client was ready to sell individual health insurance when the new online marketplace for Maryland opened for business on Oct. 1. The online marketplace or health benefit exchange, called the Maryland Health Connection, was established in accordance with the Patient Protection and Affordable Care Act (PPACA).
“I am extremely proud of everyone who jumped in to understand the issues and who rolled up their sleeves to get the job done,” said Chip Sernyak, Regional President, CoreSource Northeast. “It was an incredible team effort. CoreSource staff from Baltimore, Lancaster, Detroit, Kansas City and Lake Forest worked with key Trustmark departments and Evergreen Health to meet the Oct. 1 deadline. It was amazing for me to see how much we accomplished in such a short time to meet the needs of our new client.”
In February, CoreSource won the administrative services contract for Evergreen Health, a nonprofit health insurance cooperative based in Baltimore and a recipient of a $65 million loan from the U.S. Department of Health and Human Services (HHS). Through no- or low-interest HHS loans, PPACA encourages the establishment of co-ops to expand access to healthcare. Evergreen Health’s health plans are designed for low- to middle-income Maryland residents who earn too much to qualify for Medicaid, yet not enough to afford private insurance.
In addition to selling individual health insurance on and off the Maryland Health Connection, Evergreen Health is:
- Planning to sell group health insurance off the exchange, and
- Preparing to sell health insurance on the exchange to Maryland employers with fewer than 50 employee lives when open enrollment begins Jan. 1, 2014.
During October, CoreSource provided customer service assistance to new Evergreen Health members, answering general questions about benefits. Our services will expand by the end of the fourth quarter of 2013, when the Maryland Health Connection begins providing Evergreen Health member enrollment information.
“Partnering with Evergreen Health has been great for CoreSource,” said Clare Smith, Vice President and Chief Financial Officer, CoreSource. “We gained a lot of experience with a start-up company, and we added a lot of functionality to the client and member portal that will benefit our entire block of business.”