Audit Details Problems with Nevada Health Exchange

By: Associated Press Email
By: Associated Press Email

CARSON CITY, Nev. (AP) - An independent auditor is recommending Nevada levy penalties against Xerox for failing to achieve key performance benchmarks in operating the state's health insurance exchange that has been wracked by problems since it went online in October.

The recommendations were included in a report presented Thursday to the Silver State Health Insurance Exchange board.

The review conducted by Health Claim Auditors found instances of incorrect subsidy calculations and more than 1,000 invoices in which people paid too much because 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 exchange was given a rating of "fail" in several categories, including call response timeliness and resolution time.

Xerox says it has made strides correcting problems.


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