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SFGTV November 16, 2014

Multiclarity base and there was a transparency resolution passed by the board of supervisors and that claims be moved to all payers claims data base and in june the Health Service board approved the wellness plan and a key component of that wellness strategy of the wellness plan is the database. Some of the work weve been doing in items now coming in together. As we look at our milestones, i have already just called out some of the first few ones dating back in 2012 to 2013 and really we have spent all this year trying to realize that goal out of those resolutions, to that end we did in january of this year bring to the board our recommendation on the 205 budget which included the claims data base. In february of this year we included the blackout notice for the rfp and did release that in march. In june the wellness plan which is an integral part for our Going Forward strateg ....

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SFGTV November 14, 2014

Not asking for the actual bids. I was with a public candidate for a substantial part of my career, i know that we had vendors provide a public response and one for proprietary. Im not down to that detail, im just suggesting that upon conclusion of a project of this nature it would be helpful to know who the panel was and what the criteria were used to make this selection. Its very simple. I went on the website trying to find this document and spent couple of hours trying to do so and i couldnt find anything say all claims data base. I think we get kicked out of here at 4 00. Im sure we can do this in the future. I think its a great idea. I think we need to think about before we bring contracts to you because there are many, that we provide all the information to make it so that you are informed, and i totally agree with that. I dont mean to be argumentative. I think its great and being over the contract area we can provide the information that you want. Great. Thank you. Any other ques ....

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SFGTV November 17, 2014

Component of that wellness strategy of the wellness plan is the database. Some of the work weve been doing in items now coming in together. As we look at our milestones, i have already just called out some of the first few ones dating back in 2012 to 2013 and really we have spent all this year trying to realize that goal out of those resolutions, to that end we did in january of this year bring to the board our recommendation on the 205 budget which included the claims data base. In february of this year we included the blackout notice for the rfp and did release that in march. In june the wellness plan which is an integral part for our Going Forward strategy and also in june the rfp process wrapped up and we noted our notice of intent and we have spent direction negotiations with our vendor with being ready to bring that to you today. Just an overview, what we are proposing here in our apcd overview is that our data sources we bri ....

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SFGTV November 15, 2014

We did add one recommendation regarding a Second Review for claim denials over 10,000. We had one audit error over 200,000 denied in error. We are recommending a denial audit put in place. That was my recommendation. I can see why we would do that because someone was very unhappy that it was denied in error. So this is where the process is. So uhc, im sorry i have forgotten your name, i apologize, does your report of the last time address this finding . Rene marcus, United Health care. I do have an update on this, i dont have it in writing as of yet. Okay. Why dont you give it to us orally and provide it later. So Additional Research investigation was conducted and i am happy to report that United Health care does have an internal control in place for billed charg ....

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