We are excited to announce that effective March 1, 2024, George L. Mee Memorial Hospital in King City, Calif., has been added to our Cedar Network. This new inclusion gives Cedar plan participants access to this facility for hospital-based services should a primary doctor or specialist refer
IRVINE, Calif. (June 26, 2023) – Pinnacle Claims Management, Inc. is pleased to announce Kyle Gerdts is joining the organization as Vice President, Sales and Account Management. In this role, he will be responsible for business development and client service. Gerdts joins from HealthComp, where he served
We are pleased to announce that Steve Mangapit, the COO of the Western Growers Family of Companies (WGFC), will assume the duties of President of Pinnacle Claims Management, Inc., effective immediately. He replaces David Zanze, who retired after 38 years of service to the organization. “I look
In an effort to combat high prescription drug costs, legislators included language in the Consolidated Appropriations Act, 2021, requiring group health plans to submit detailed information about prescription drug pricing and health care spending to the federal government. The submission form is known as the “RxDC report.”
IRVINE, Calif. (August 1, 2022) Pinnacle Claims Management, Inc., part of the Western Growers Family of Companies (WGFC), has announced it will facilitate patient care as a managing services organization at the Cedar Health and Wellness Center located in Santa Maria, California. This comes after Pinnacle announced
In late 2020, the Departments of Health and Human Services, Labor, and Treasury released the Transparency in Coverage Final Rules (TIC) and the Consolidated Appropriations Act (CAA) was signed into law. These two initiatives provide new consumer protections as described below, and include extensive transparency reforms intended
Pinnacle Claims Management Health Plan Transparency Pinnacle is committed to our clients, and as such, we actively work to ensure you receive the necessary guidance as it pertains to legislative changes in health care. There have been several provisions of the Consolidated Appropriations Act of 2021 (CAA)
California’s latest COVID-19 Supplemental Paid Sick Leave Bill (AB 84) was signed into law on February 9, 2022 by Governor Newsom. Details of this new legislation are set out below. Employee Use of COVID-related Supplemental Paid Sick Leave (SPSL) SPSL is available for employees unable to work
On January 10, 2022, the Biden Administration announced that, beginning January 15, individuals with private health insurance coverage or covered by a group health plan who purchase an over-the-counter COVID test authorized, cleared, or approved by the U.S. Food and Drug Administration (FDA) will be able to
Login
