The Second Quarter 2023 issue of Cigna Network News is now available. Network News is easy to navigate and it is easy to find what you’re looking for, including policy and network updates, as well as industry tools and resources.
PHPs new partnership with Valenz Health for prior authorization services goes live May 1, 2023.
A new employer group, AZO Services, now has access to the Lakeland Care Network through our Confinity contract. Effective May 1, 2023, AZO Services will be using the payor Auxiant.
Attached you will find the monthly updates for April 2023 from our partners at UnitedHealthcare.
Humana has made significant changes to their commercial products in regards to preauthorization and notifications in 2023.
On April 1, 2023, our payment reference IDs that accompany claim and capitation payments will change.
As Michigan’s Prior Authorization Reform legislation (SB 247 / PA 60) goes into effect on June 1, 2023, we’ll implement new requirements for some of our prior authorizations to help ensure timely, appropriate care for our members, your patients.
An outline of the new clinical edits for professional and facility claims.
As you may know, in April 2022, Governor Whitmer signed the prior authorization reform bill, Public Act 60 (PA 60), into law. We’re excited that this legislation supports streamlining how we work with each other, making it easier for our members – your patients – to get the care they need when they need it.
Changes to our National Precertification List (NPL) applying to both our commercial and Medicare members.
We have received multiple questions regarding the impact the Blue Cross Personalized Medicine℠ program has on your annual Product Exhibits. As a reminder, this is the program that uses genetic testing to personalize medication treatments.
Welcome to the Department of Veterans Affairs Community Care Network (VA CCN). You are invited to attend a 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.
Now that claim reconsiderations and appeals must be submitted electronically, we want to help make sure you have the how-to information you need to manage them with ease.
Corewell Health South's Compliance team's presentation to the LMOA membership.
Blue Care Network Qualification Form must be submitted online within the BCN Health e-Blue℠ application.
We’re reissuing new ID cards to our commercial members to update the pharmacy processing information on the back of their card. This change will take effect April 1. Members will receive their new cards between March 31 and April 28.
We’ve partnered with Livongo to offer a digital diabetes management program to your commercial fully funded patients with type 2 diabetes. This program will strengthen the care you provide and offer the extra support your patients need to manage their health.
The latest monthly update from United Healthcare
Recently fixed errors for certain services
Blue Care Network mailed additional letters at the beginning of March 2023, to primary care physicians and prescribers with BCN patients who are being offered the opportunity to receive a pharmacogenomics test as part of BCN’s new Blue Cross Personalized Medicine℠ program.