Below you will find the recorded sessions from our cohort series focused on Transparency in Coverage (All Services). Each session has been broken into shorter lessons based upon topic(s). Additionally, we have provided the slide presentations from the session.
Transparency in Coverage
(All Services)
Cohort Series
Your Kyruus Health Resources
Transparency in Coverage (All Services) Series - Cost Services Domain Comment Period
Learn about what the Cost Services Domain Comment Period is and how to partake in it.
43 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Roundtables
Transparency in Coverage (All Services) Series - Planning and Preparation
This session dives into planning and preparation for TiC All Services.
60 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Roundtables
Transparency in Coverage (All Services) Series - Disclaimer & Disclosure Messaging
This session focuses on Disclaimer and Disclosure messaging, what's changing for all items and services, and service specific messaging.
32 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Roundtables
Transparency in Coverage (All Services) Series - Data Domain Overrides & Data Processing
This session focuses on data domain overrides & data processing, which will give you a comprehensive look at the templates and workflow.
55 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Roundtables
Transparency in Coverage (All Services) Series - Cost Experience UI
Learn about changes to user interaction with both the search bar and cost on the profile page.
54 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Roundtables
Transparency in Coverage (All Services) Series - Testing and Triage
In this roundtable, you will learn about test scenarios and test users, as well as issue triaging.
59 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Roundtables
TiC (All Services) Cohort 1 - Session 1
Session 1 focuses on introducing the cohort, setting expectations for testing, reviewing dev tools, and describing what comes next.
52 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 1
TiC (All Services) Cohort 1 - Session 2
Session 2 focuses on a review of the Search Experience including some search behavior changes.
54 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 1
TiC (All Services) Cohort 1 - Session 3
Session 3 focuses on an updated process, planning and execution tasks, and testing feedback.
46 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 1
TiC (All Services) Cohort 1 - Session 4
Session 4 focuses on a data discussion and a review of block list / domain overrides.
59 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 1
TiC (All Services) Cohort 1 - Session 5
Session 5 focuses on a discussion and review of OON Allowed Amounts.
55 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 1
TiC (All Services) Cohort 1 - Session 6
Session 6 includes a review of both the HSC Ticket Submission process and Cost Index Creation
58 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 1
TiC (All Services) Cohort 1 - Session 7
Session 7 focuses on an issue where costs are unavailable on provider profiles
56 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 1
TiC (All Services) Cohort 1 - Session 8
Session 8 reviews a couple of issues/tickets submitted including loading provider search results and a specific provider not appearing in results.
52 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 1
TiC (All Services) Cohort 1 - Session 9
Session 9 includes a reminder on updating the status of planning tickets and a question regarding blocked vs unblocked services.
44 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 1
TiC (All Services) Cohort 2 - Session 1
Session 1 focuses on introducing the cohort, setting expectations for testing, reviewing dev tools, and describing what comes next.
54 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 2
TiC (All Services) Cohort 1 - Session 10
Session 10 focuses solely on questions from the cohort members.
50 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 1
TiC (All Services) Cohort 2 - Session 2
Session 2 focuses on a review of the Search Experience including some search behavior changes and a look at triage tools from a results perspective.
59 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 2
Transparency in Coverage (All Services) Cohort 3 - Session 1
Transparency in Coverage (All Services) Cohort 3 - Session 1 covers an overview of the cohort and the support team, validation approach, triage tools and next steps, all culminating in a Q & A session.
54 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 3
TiC (All Services) Cohort 1 - Session 11
Session 11 reviews a previous HSC ticket where a specific provider was not showing up in search results and a discussion around the Cost Data Filtering Process
57 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 1
TiC (All Services) Cohort 2 - Session 3
Session 3 provides a reminder on the ticket process and goes through various validation questions/issues from members of Cohort 2.
57 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 2
TiC (All Services) Cohort 3 - Session 2
Session 2 focuses on a review of the Search Experience including some search behavior changes and a look at triage tools from a results perspective.
55 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 3
TiC (All Services) Cohort 1 - Session 12
Session 12 includes a review of plans for mitigation and how things will be handled after the cohort ends, as health plans start to make Go/No-Go decisions, and some information on external MRF issues.
60 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 1
TiC (All Services) Cohort 2 - Session 4
Session 4 includes a review of Block Lists, EQ Types and POS Overrides, and Service to Specialty mapping, along with any validation issues and questions.
58 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 2
TiC (All Services) Cohort 3 - Session 3
Session 3 includes a review of dev tools, what we are seeing with planning action submissions, and feedback questions on how testing is going.
52 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 3
TiC (All Services) Cohort 4 - Session 1
Session 1 focuses on introducing the cohort and describing what comes next.
59 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 4
TiC (All Services) Cohort 1 - Session 13
Session 13 is an open discussion where members of the cohort can ask any outstanding questions as they approach the Go / No Go Decision.
43 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 1
TiC (All Services) Cohort 2 - Session 5
Session 5 is an open dialogue session with a few HSC tickets reviewed in real-time.
37 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 2
TiC (All Services) Cohort 3 - Session 4
Session 4 includes a data discussion, an update from Daryl, and information about messaging.
54 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 3
TiC (All Services) Cohort 4 - Session 2
Session 2 includes details on the ticket process, a review of the search experience, and an update on plain language strategy.
48 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 4
TiC (All Services) Cohort 1 - Session 14
Session 14 includes updates on plain language strategy and a review of HSC ticket process for making your Go/No Go decision.
53 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 1
TiC (All Services) Cohort 2 - Session 6
Session 6 includes updates on plain language strategy and a details on external MRFs.
61 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 2
TiC (All Services) Cohort 3 - Session 5
Session 5 includes a discussion around the OON Allowed Amounts UI which several cohorts have had questions around.
42 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 3
TiC (All Services) Cohort 4 - Session 3
Session 3 includes a review of Block Lists, EQ Overrides, and Service to Specialty Mappings, along with a review of the Dev Tools.
48 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 4
TiC (All Services) Cohort 1 - Session 15
Session 15 includes a review of what post cohort support looks like along with a walkthrough of an existing HSC ticket regarding intermittent issues.
58 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 1
TiC (All Services) Cohort 2 - Session 7
Session 7 includes discussion regarding Cost Data Filtering and a few quick reminders on Member Out of Pocket
63 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 2
TiC (All Services) Cohort 3 - Session 6
Session 6 is an open forum format, allowing members of the cohort to bring up any open tickets or questions.
36 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 3
TiC (All Services) Cohort 4 - Session 4
Session 4 includes a discussion of using an external MRF in cost index.
27 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 4
TiC (All Services) Cohort 1 - Session 16
Session 16 is largely focused on answering outstanding questions. There is a review of the cohort status and an update on prod data.
29 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 1
TiC (All Services) Cohort 2 - Session 8
Session 8 includes an update to the search data domain for awareness only and a review of Go Live Readiness tickets. Additionally, there is discussion around CLNR data and testing.
61 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 2
TiC (All Services) Cohort 1 - Session 17
Session 17 includes several Transparency in Coverage updates that impact previous guidelines related to two specific requirements.
52 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 1
TiC (All Services) Cohort 2 - Session 9
Session 9 includes discussion regarding some TiC updates that impact guidance related to two specific requirements.
59 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 2
TiC (All Services) Cohort 3 - Session 7
Session 7 includes discussion regarding Go-Live Readiness, some TiC Updates, Cost Data filtering, and time for questions at the end.
57 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 3
TiC (All Services) Cohort 4 - Session 5
Session 5 includes a couple TiC Updates regarding percent of charge and prescription drug MRF requirements, a review of OON Allowed Amounts, and testing feedback and questions.
48 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 4
TiC (All Services) Cohort 1 - Session 18
Session 18 provides a review of what was accomplished throughout this cohort and opens up for final questions.
42 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 1
TiC (All Services) Cohort 2 - Session 10
Session 10 includes an update on CLNR along with a few reminders for go-live readiness, an update to toggle location, and review of HSC tickets.
57 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 2
TiC (All Services) Cohort 3 - Session 8
Session 8 includes a discussion regarding the go-live ticket process and a deeper dive into the data layer of the OON Allowed Amounts.
49 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 3
TiC (All Services) Cohort 4 - Session 6
Session 6 contains two main discussions — OON Allowed Amounts Data Layer and Cost Data Filtering.
30 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 4
TiC (All Services) Cohort 2 - Session 11
Session 11 focuses on reviewing a few outstanding HSC tickets and allowing for additional questions.
35 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 2
TiC (All Services) Cohort 3 - Session 9
Session 9 includes a review of Go/No-Go HSC Ticket process and a discussion around Cost Data Domain Updates.
58 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 3
TiC (All Services) Cohort 4 - Session 7
Session 7 includes an update on the Go / No-Go HSC tickets and a discussion regarding Cost Data Domain updates.
34 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 4
TiC (All Services) Cohort 2 - Session 12
Session 12 focuses on preparing members for what to expect on 10/26. Additionally it has a discussion regarding updates to the Cost Data Domain.
53 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 2
TiC (All Services) Cohort 3 - Session 10
Session 10 reviews what to expect going live and a discussion regarding CSTM codes.
46 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 3
TiC (All Services) Cohort 4 - Session 8
Session 8 includes a review of the post cohort support and a discussion on cost data filtering.
39 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 4
TiC (All Services) Cohort 2 - Session 13
Session 13 includes a review of Go-Live Readiness, CLNR update, and a review of open HSC tickets.
39 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 2
TiC (All Services) Cohort 3 - Session 11
Session 11 reviews what to expect as we prep for go-live and reviews several open HSC tickets.
42 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 3
TiC (All Services) Cohort 4 - Session 9
Session 9 includes a review of the HSC Ticket Process and what to expect with Go-Live preparation.
26 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 4
TiC (All Services) Cohort 2 - Session 14
Session 14 includes a quick discussion on CLNR with some helpful tips and a review of open HSC tickets.
28 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 2
TiC (All Services) Cohort 3 - Session 12
Session 12 includes a quick review of what is happening with go-live and allows for questions from the group.
37 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 3
TiC (All Services) Cohort 4 - Session 10
Session 10 provides an update on HSC go-live tickets and reviews the Go No-Go expectations.
21 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 4
TiC (All Services) Cohort 3 - Session 13
Session 13 is the final session for Cohort 3. It provides a review of topics covered, what to expect going live, and what support is like post cohort.
31 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 3
TiC (All Services) Cohort 4 - Session 11
Session 11 provides a quick review of post cohort support and leaves time for questions from the cohort members.
20 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 4
TiC (All Services) Cohort 4 - Session 12
Session 12 reviews what to expect with each Go / No-Go Decision, the HSC ticket process, and what post cohort support looks like.
36 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 4
TiC (All Services) Cohort 4 - Session 13
Session 13 is the final session for Cohort 4. It provides a review of topics covered and what to expect going-live, along with Egress Validation Report.
47 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Cohort 4
TiC (All Services) Office Hours - Session 1
Session 1 includes updates for Blue Plans, Questions/Topics, and Member Enablement Planning.
63 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Office Hours
TiC (All Services) Office Hours - Session 2
Session 2 includes updates to CLNR v2 production readiness along with details regarding Member Enablement Planning, and additional questions, some of which were also covered in Office Hours - Session 1.
61 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Office Hours
TiC (All Services) Office Hours - Session 3
Session 3 provides an update on Member Enablement Planning and goes over specific open HSC tickets from cohort members.
61 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Office Hours
TiC (All Services) Office Hours - Session 4
Session 4 is largely led by cohort members who have either submitted questions in tickets already or have questions come up that they will ask live.
68 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Office Hours
TiC (All Services) Office Hours - Session 5
Session 5 is the last office hours for the TiC (All Services) Cohort. Along with final reminders, there is time for questions from members of the cohort.
32 min
webinar-series
> 10 minutes
Webinar
Transparency in Coverage (All Services)
Office Hours