News

August 9, 2023

CIGNA: Network News for Q3 of 2023

If you’re a registered user for the Cigna for Health Care Professionals website and have the Claim Search entitlement, you can now view notifications in the Message Center for claims that have been processed, pended, or denied. The Message Center can automatically provide daily emails informing you of these claim status changes or you can set your own preferences.
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June 27, 2023

Priority Health: Recall of Multiple Drugs Manufactured by Akorn Pharmaceuticals

On June 1, 2023, Akorn Pharmaceuticals initiated a voluntary recall of various products as a result of bankruptcy and discontinuation of quality assurance activities of these marketed products. The discontinuation of the quality assurance program means the company is not able to support or guarantee that the products meet all intended specifications.

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June 27, 2023

Priority Health: Recall of multiple drugs manufactured by Akorn Pharmaceuticals

On June 1, 2023, Akorn Pharmaceuticals initiated a voluntary recall of various products as a result of bankruptcy and discontinuation of quality assurance activities of these marketed products. The discontinuation of the quality assurance program means the company is not able to support or guarantee that the products meet all intended specifications.

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June 9, 2023

UnitedHealthcare offers claim denial prevention training

Would you and your team like to learn more about a method of Claim Denial Prevention? We would like to help. Please join us to learn more about the Optum Communication Gateway, which delivers payer-specific rules within the billing workflow and could significantly cut down on your administrative costs of rework.

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May 31, 2023

Blue Care Network: May 2023 Partners in Care

This issue of BCN, Partners in Care, introduces BCN’s Chief Medical Officer Peter T. Graham, M.D., and focuses on how we’re working to improve the experience you and your providers have with us and collaborate with you to improve your patients’ health care experience.

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May 26, 2023

Priority Health‘s Medicaid claims incorrectly rejecting

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 fix the issue as quickly as possible. Until then, they recommend you don't rebill those claims!

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May 15, 2023

BCBS and BCN: Landmark eligibility file for BCN advantage

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 AdvantageSM members who are eligible for the Landmark Health high-intensity in-home care program for members with multiple chronic conditions.

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May 8, 2023

Humana: Q2 2023 Physician Newsletter

This newsletter is for physicians, specialists, clinicians and office staff to deliver the latest news, resources and administrative information to support them in the care of their patients.

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May 4, 2023

Aetna Better Health: Availity Appeal Enhancement Pilot

Aetna Better Health is excited to announce that we’re moving to Phase 2 of the Availity Appeals Enhancement Pilot. What we need are Providers (office staff), that are willing to participate in the Pilot. The above attachment gives a high level overview of what the Enhancement is about.

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May 2, 2023

Meridian: Michigan Medicaid redetermnation

Medicaid redetermination is the process that states use to ensure that Medicaid enrollees continue to be eligible for Medicaid coverage. Typically, redetermination happens once a year; however, the rules changed during the pandemic.

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May 2, 2023

Taxonomy codes no longer Medicare eligible

Lakeland Care Network (LCN) was recently informed by Humana that certain taxonomy codes are no longer accepted by their Medicare product as of 10/31/2022. Per Humana, providers with the attached taxonomy codes are no longer eligible for Medicare reimbursement. 

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April 26, 2023

Cigna: 2023 Q2 Network News

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.

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April 6, 2023

UnitedHealthcare: April 2023 update

Attached you will find the monthly updates for April 2023 from our partners at UnitedHealthcare.

  • Medicaid changes to dental  coverage effective April 1, 2023
  • UHC Network News for April
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