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County officials press Edison Health for on-site help after MedImpact data-sync failures left some employees overcharged
Summary
A remote Edison Health representative told Coffey County commissioners that a MedImpact breach and ongoing data-sync problems have caused pharmacy charges not to count toward employee deductibles; commissioners asked Edison to return in person and to coordinate reimbursements for affected employees.
Coffey County commissioners heard a detailed update from a remote representative of Edison Health on Jan. 20 about ongoing pharmacy-data problems tied to MedImpact that have affected some county employees on high-deductible plans.
Joe Van still of Edison Health told the board the principal problem is that MedImpact isn’t consistently accepting the county’s data feed — a condition that predated a recent MedImpact system breach and worsened after it. "The major issue at hand is the Med Impact data syncing," he said, explaining that when the pharmacy and the claims processor do not receive the county’s data, prescription payments may not be credited toward employees’ deductibles.
Van still said Edison has begun working with affected employees and providers to resolve specific billing and collection problems, and that reimbursements are being pursued. He reported at least one case in which a provider-submitted claim had gone to collections; the collection was later pulled and the employee’s credit report restored after intervention. Van still said Edison had opened reimbursements with MedImpact for several individuals but that processing remained in progress.
County staff and commissioners asked Edison to schedule on-site troubleshooting and one-on-one meetings with affected department employees — steps the board said previously helped resolve issues during a past visit. Angie (county staff) and other department contacts were identified as the county-side points of contact for follow-up. Van still said he would coordinate possible attendance by MedImpact personnel if they can assist with direct data reconciliation.
Why it matters: unresolved pharmacy-claims or data-sync problems can cause employees to pay more out-of-pocket, create collections or credit-report issues, and require employer administrative time to reconcile claims and process reimbursements.
Next steps: Edison Health will work with county staff (Angie and Andrew) to arrange in-person troubleshooting and attempt to secure MedImpact participation; Edison will continue to pursue reimbursements for affected employees and notify the county when claims are resolved.
