Providers

Please see the attached July 21 Informational Handouts from Meridian.  The topics this month include:

• NIA Updates:   Meridian is pleased to announce we are expanding our partnership with National Imaging Associates, Inc. (NIA) to provide utilization management for Interventional Pain Management (IPM), outpatient rehabilitative and habilitative physical medicine services for Meridian’s membership

• Ambetter Policy Implementations:  new policies Ambetter will be implementing effective June 1, 2021

• 2021 Meridian Health PCMH Incentive Program

Provider Bulletins & MSA Updates

Below are links to all provider updates related to COVID-19 coverage, including TeleMedicine policies.

COVID-19 Billing Guide - updated July 19, 2021:

https://www.uhcprovider.com/content/dam/provider/docs/public/resources/news/2020/covid19/UHC-COVID-19-Provider-Billing-Guidance.pdf

COVID-19 Guide - updated July 20, 2021:

A copy of the Priority Health Medical Policy, for Telemedicine (telehealth), as of June 30, 2021, is attached below.

Please note, all PH Medical Policies are located on the Priority Health Provider Portal, for Provider review and future reference.

All medical policies can be accessed using your office account thru the Provider Portal with Priority Health.  A direct link is:

https://www.priorityhealth.com/provider

IMPORTANT INFORMATION FROM CIGNA

COVID-19 public health emergency period extended through October 17, 2021

Since the COVID-19 pandemic began, we have taken important steps to deliver timely accommodations to providers and customers, helping to ensure that customers have continued access to COVID-19 screening, testing, and treatment in safe settings.

Extension of key accommodations

Exciting News From the CCM Digital Provider Strategy Team!!!

We are happy to announce that the Humana CCM Digital Provider Strategy team will be holding regularly scheduled live webinars to demo and train providers on the Availity Overpayment Tool.  These webinars will typically be scheduled for the first Tuesday and Thursday of the month at 10:00am or 1:00pm (EST).

Priority Health has now provided their Spring 2021 Provider and Practice News Digest. The following important informaiton can be found in the links below:

Authorizations

Changes to our musculoskeletal authorizations coming Jan. 1, 2022 | more

For Meridian, information regarding the Payor ID changes that took effect on 1/1/21  is located on the Meridian website under Provider Resources/ Bills and Payments.

For Claims - Professional and Facility call:

Availity Customer Support: 800-282-4548

www.avality.com

Please check the member ID card for the changes which took effect on January 1, 2021

Please see the attachment for a printable handout for your office of these numbers and details.

UnitedHealthcare Provider Newsletter

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National

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From Priority Health:

Our goal is to work with our provider partners to optimize health outcomes while providing evidence-based, value-driven care. This is why we’ll move to nationally recognized criteria for our musculoskeletal authorizations starting Jan. 1, 2022.

Why are we making this change?