Blue Cross Blue Shield of Michigan and Blue Care Network have contracted with Covera Health to launch a radiology-focused quality improvement program to help us better support radiologists and referring providers in their efforts to improve diagnostic quality, overall c
Today, Cigna is becoming Cigna Healthcare.
This evolution of our brand signifies our renewed focus as an advocate for better health through every stage of life, as well as for improving the health, well-being, and peace of mind of our customers – your patients. Together, Cigna Healthcare and Evernorth Health Services will comprise The Cigna Group, a global health company committed to creating better health for all.
Attached you will find the latest updates provided to us by Humana. Please read and share the first quarter of 2023 Physician News updates with your offices
Attached you will find the latest updates provided to us by Cigna. Please read and share the first quarter of 2023 Network News updates with your offices
LMOA is an independent, non-profit organization dedicated to providing quality education to
southwestern Michigan's healthcare community.
Dear BCN-Affiliated Medical Care Group Business Administrator:
From United Healthcare, please read the provided attachments for all updates to UHC as of February 2023.
Meridian is notifying our network of a new program offering to their Ambetter members.
These letters are being sent out to the Ambetter providers (please review the attachment below). Some key information is below:
Dear BCN-Affiliated Medical Care Group Business Administrator:
Dear 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
Friendly reminder from Humana:
Attached is letter that went out to providers early December 2022.
Attached are the latest updates from United Healthcare for January 2023:
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LMOA is an independent, non-profit organization dedicated to providing quality education to southwestern Michigan's healthcare community.
Dear BCN Medical Care Group Business Administrator,
From United Healthcare:
Please reference the below attachments on the following topics:
Dear BCN-Affiliated Medical Care Group Business Administrator:
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.
Attached are the powerpoint slides for the seminar hosted by the Lakeland Medical Office Association on Wednesday, November 16, 2022. Jim Leach was the presenter and was kind to offer his presentattion be accessible to everyone who is interested, whether you were able to attend or not.
From our Partners at UHC, please read the latest updates from United Healthcare. The Network Bulletin for November 2022 is attached.
Dear BCN Medical Care Group Business Administrator, Blue Cross Physician Organization Administrator and Blue Cross Risk Based Contracted Entity Administrator:
From United Healthcare:
Please see that attached November 2022 Network News bulletin updates and- the UHCCP P4P updates flyer.
LMOA is an independent, non-profit organization dedicated to providing quality education to southwestern Michigan's healthcare community.
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.
Dear BCN-Affiliated Medical Care Group Business Administrator:
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.
From Humana:
Please read the Humana Claim Payment Resolution Handbook regarding significant updates, which include:
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:
From BCBS:
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.
As a reminder, Cigna members who are under different health plans are covered by Priority Heath through our Strategic Alliance with Cigna. This means that Cigna members traveling in Michigan who have health plans covered under a Cigna Strategic Alliance can see our in-network PPO providers.
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Below are the resources from the Lakeland Medical Office Association luncheon and seminar held on Wednesday, September 21, 2022. Included is Jim's powerpoint and a couple of his medical decision making guides. Jim returns on November 16, 2022 for another very popular and timely presentation on:
New Hospital Documentation Rules
Medicare Annual Wellness Visits with E&M
Advanced Care Planning
Transitional Care Management
Dear Medical Care Group Business Administrator:
From United Healthcare:
These are the monthly handouts and information provided by UHC for September 2022:
From Priority Health:
From Priority Health:
Dear BCN Medical Care Group Business Administrator,
Please see the attached handout for reference from ABH regarding Suicide Prevention Lifeline phone change:
