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New information for Security Health Plan providers

News and  announcements that will help you work more efficiently with  Security Health Plan coverage. We've also included   current and past issues of provider newsletters for easy reference.

Risk Adjustment

Risk Adjustment and Hierarchical Condition Category (HCC) coding is a payment model mandated by the Centers for Medicare and Medicaid Services (CMS) in 1997

More about risk adjustment and HCC coding

  • model identifies individuals with serious or chronic illness assigns a risk factor score to the person based upon a combination of the individual's health conditions and demographic details
  • The individual's health conditions are identified via International Classification of Diseases-10 (ICD-10) diagnoses that are submitted by providers on incoming claims
  • There are more than 9,000 ICD-10 codes that map to 79 HCC codes in the Risk Adjustment model

View archived  newsletters


Take a look at past Provider News.

View archive  newsletters

Contact Information


Security Health Plan Provider Relations and
Contracting Department
shpprd@securityhealth.org
715-221-9640 or
1-800-548-1224