Providers

United Healthcare has shared their June’s Network News updates for June 2023

Update 6/2/23

The issue with Medicaid edit 5167 incorrectly front-end rejecting claims, first discovered on May 23, was resolved on May 30. All impacted claims have been reprocessed

Original Noted posted May 26, 2023:

Priority Health is offering an one hour webinar on thursday, June 8, 2023 at noon on the topic of Virtual Office Advisory.

Topics include:

• July 1 formulary changes
• Medicare quality updates
• Medicaid quality updates
• GuidingCare
• PHE ending

The attached 2023 issue of BCN Partners in Care has been mailed to all contracted Blue Care Network providers, one copy per address.

Below is a news release from Priority Health: 

On Jan. 1, 2023, CMS released two new care management codes for chronic pain management – G3002 and G3003 – which allow providers helping chronic pain patients to bundle key services and bill monthly rather than a’ la carte.

Priority Health is experiencing an issue with their Medicaid claims front-end rejecting for “Claim Type Requires a Referring/Ordering NPI” when they shouldn’t.  Priority Health teams are working to find the root cause and fi

Priority Health has provided an update:

Please see your United Healthcare May 2023 Network News updates:

• Want to help secure accurate and timely payments? Verify your data!

Health care professionals who are contracted with UnitedHealthcare are required to verify demographic data every 90 days.

Blue Cross Blue Shield of Michigan and Blue Care Network have implemented a monthly data feed to inform you of your group’s assigned BCN Advantage^SM members who are eligible for the Landmark Health high-intensity in-home care program for members with multiple chronic conditions.

From Humana:  In a continued effort to optimize care for our members and ensure prompt delivery of quality DME, Humana has entered into enhanced partnerships with DME provider— Rotech. Effective July 1, 2023,  Rotech will manage Humana’s Medicare Advantage (MA) health maintenance organization (HMO) business.