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OHC Information in MEDS
OHC/HIAR
When there is private health insurance coverage, the following information will appear on the individual’s [HIAR] screen on MEDS.
- Name of carrier
- Policyholder name
- Policy number
- Policy start and stop dates
- Employer name and address
- Scope of coverage
- Whether dependent coverage is available.
Note: The information may be useful in responding to individual’s inquiries and in identifying insurance carriers. The worker must ensure personal information found in MEDS pertaining to the absent parent is NOT disclosed.
Information Lacking
If the client has private health insurance, but the MC program lacks information about the coverage, the word “COMPREHENSIVE” will appear on the record instead of the codes. This will alert providers to bill all services to the insurance company.
Clients will be notified to call their EW if the health insurance information on the MC record is incorrect.
Related Topics
Overview of the Managed Care Two-Plan Model
Health Care Options Enrollment Contractor
Managed Care for Mental Health Services
Coordinated Care Initiative - Cal MediConnect
Health Insurance Premium Payment (HIPP) Program
Removal of OHC Codes for Victims of Domestic Violence
OHC for Foster Care/Adoption Assistance Children
Repayment for Medical Services