Providers

REMINDER: DESIGNATE YOUR PRIMARY CARE PROVIDER

The eviCore healthcare web portal is the most efficient way to initiate requests for prior authorization and check the status of an existing request. The self-service web portal is available 24/7, enabling you to initiate and review authorization information at your convenience.

To ensure you have the tools to be successful using our web portal, Meridian invites you to join one or more of the orientation sessions listed below. Whether you’re new to the web portal, or are an experienced user with questions, these sessions can help you maximize your web portal experience.

Attached you will find the monthly handouts from Meridian for the month of February 2020:

Topics include:

• Guide to Patient Satisfaction-How did Meridian Perform in 2019 CAHPS
• Comprehensive Diabetes Care and Controlling High Blood Pressure
• Persistence of Beta Blocker Treatment After a Heart Attack
• Statin Therapy and Adherence
• What is MeridianHealth's Healthy Michigan Plan?
• Medically Frail Overview
• Provider Talking Points

The Lakeland Medical Office Association invites you to attend our February luncheon and seminar.  

Program:  Crucial Conversations – Living & Working with Emotional Intelligence

In an effort to streamline the authorization process for the MeridianComplete services managed by H3, providers can submit requests directly to H3/Innovista via the submission options below.

You’re invited to Veterans Affairs Community Care Network Overview educational session.

Join us for one of the following virtual one hour educational presentations to learn more about VA CCN, treating Veterans and doing business with VA and Optum. During this webinar we will discuss:

•  VA CCN Overview
•  Referrals and Appointment Scheduling
•  Providing and Coordinating Care
•  Medical Documentation Requirements and Claims
•  Where to locate additional resources

Registration is required and space is limited.

At UnitedHealthcare, we’re doing all we can to simplify the health care system for everyone.

Point of Care Assist™, adds real-time patient information —including clinical, pharmacy, labs, prior authorization, eligibility and cost transparency — to your existing electronic medical records (EMRs) to make it easier for you to understand what patients need at the point of care.

2020 PriorityMedicare D-SNP Model of Care provider training is now available

Providers play an integral role in the care teams that support our dual-eligible special needs members. That’s why the Centers for Medicare and Medicaid Services (CMS) requires us to make sure providers who routinely see PriorityMedicare D-SNP patients are trained on our Model of Care. Our Model of Care is a quality improvement tool that ensures the unique needs of our D-SNP members are met and describes the processes and systems we use to coordinate their care.

Attached you will find the monthly handouts from Meridian for the month of January 2020:

Topics include:

• Medication Reconciliation Post Discharge ( MRP)
• Transitions of Care (TRC)
• Pediatric Preventative Health Care Guidelines
• 2020 Meridian Health PCMH Incentive Program
• HEDIS Hybrid

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Dear Physician or Administrator:

As Humana continues to make improvements to the Service Fund system, we want to share these improvements with you.

Bulletin Board System (BBS) Report Archive – BBS data reports older than 12 months will be archived. The archiving will process through the end of 2019 and will be finalized beginning January (PE20200101). The data reports up to 10 years old will remain in the archive. Requests for archived data reports may be sent to servicefund@humana.com.