Audit details problems with Nevada health exchange

Silver State Health Insurance Exchange
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Updated: 4/17 9:59 am

CARSON CITY, Nev. (AP) — An audit of Nevada's health insurance exchange cites Xerox for failing many service performance standards as outlined in its contract.

The audit, to be discussed Thursday by the Silver State Health Insurance Exchange board, looked at 540 selected files. It found instances of incorrect subsidy calculations and more than 1,000 consumer invoices in which tax credits were omitted.

Additionally, about 11 percent of claims reviewed did not account for reduced out-of-pocket costs for participants based on income levels.

The 60-page report prepared by Health Claim Auditors Inc. also found that some premium information on the Nevada Health Link website was different than rates listed by the Division of Insurance.

The exchange was given a rating of "fail" in several categories, including call response timeliness and problem resolution.

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