News

Dear BCN-Affiliated Medical Care Group Business Administrator:

Attached are the following updates and provider educational opportunity, please share with your team and providers.

• Humana Claim Resolution Guideline Update

Attached are the latest updates from United Healthcare for January 2023:

• January 2023 Network News Bulletin
• MDHHS Medicaid Coverage of Doula  effective 1-1-2023

LMOA is an independent, non-profit organization dedicated to providing quality education to southwestern Michigan's healthcare community.

From United Healthcare:

Please reference the below attachments on the following topics:

• 2023 Pay for Performance PCP Incentive Program
• 2022 December Network News Bulletin

Cigna continues to leverage the power of technology and data to accelerate its transition to fully adopt digital-only ID cards* by 2024. This approach to digital ID cards is the next step in our journey to offer more digital-first solutions for our customers and providers.

From our Partners at UHC, please read the latest updates from United Healthcare.  The Network Bulletin for November 2022 is attached.

From United Healthcare:

Please see that attached November 2022 Network News bulletin updates and- the  UHCCP P4P updates flyer.

From Meridian: 

We have recently created a new “known claim issues” posted on our MIMeridian website, it provides all the current system issues and that will be updated. Please utilize this link below to provide the most up to date claims system issues that we are working to resolve.

It’s been our priority for more than 25 years to reward the high-quality care you provide our members through our PCP Incentive Program (PIP). We’re excited to usher in opportunities for you to earn incentive payments more frequently throughout the year through our 2023 PIP program.

Thank you all who joined us at the Hilton Garden Inn for our annual payor conference.  It was so much fun to get together again and see our friends in person! We hope you found our conference helpful and, as promised, below are the presentations by our payor partners:

On Oct. 12, 2022, Blue Cross Blue Shield of Michigan and Blue Care Network posted the attached provider alert, Ordering transfers from noncontracted (or nonparticipating) ambulance services costs members money.

Dear Medical Care Group Business Administrator:

From Priority Health:

Dear BCN Medical Care Group Business Administrator,

Meridian has provided a link for offices to refer to when questions arise on a number of topics.

The link to the Meridian website and the billing manual regarding the Meridian system billing requirements, can be found at: 

Please read the following attachments provided to LCN for August 2022:

• August 2022 Network News Powerpoint
• UHC- CP New Incentive Payments
• MDHHS Changes to Blook Pressure Monitor Policy
• MDHHS Pre-Exposure Prophylaxis
• Community Care information
• Diaper Bank information

Attached are the informational handouts from Meridian:

• June 2022 Monthly Provider Update
• Payment and Utilization Policies, Effective April 1, 2022
• Medicaid Appeal Address and Fax Number Update
• Annual Cultural Competency Training
• July 2022 Monthly Provider Update