PH - Clinical Edits Effective Sepetember 15, 2022
From Priority Health:
From Priority Health:
From our partners at Aetna Better Health:
Aetna Better Health of Michigan Healthy Visit program will be reaching out to some of your patients to schedule in-home assessment with Signify Health.
Please see the attached July 2022 Monthly Collateral from United Healthcare.
Attached are monthly updates for July 2022 from Meridian.
Blue Cross Blue Shield of Michigan and Blue Care Network are making some improvements to the access to our Health e-BlueSM tools through our new provider portal (availity.com).
Provider Guide: Bind Benefits, Inc.
Introduction
Bind is a new product offering for self-insured employers. Bind Benefits, Inc., accesses UnitedHealthcare provider contracts, as an affiliate of UnitedHealthcare. Bind administers the first-ever on-demand health insurance product model.*
• Consumers want to know what is covered before receiving care and how much it will cost.
• Employers want to stop the increasing cost of care and their employees’, without negatively impacting quality.
Dear Medical Care Group and Physician Organization Business Administrator,
Per information posted yesterday from Meridian, there is a vital change, effective immediately. Optum has a revised mailing address, as well as emails and fax numbers. Please see the attachement for all of the significant details,
In addition, another change is to Member Services Fax number, effective May 1, 2022.
Dear Medical Care Group Business Administrator:
Dear Medical Care Group and Physician Organization Business Administrator,
Meridian Wellcare is the name of Meridian's Medicare product. Lakeland Care practices and providers do not participate with their Wellcare product. So, if you are seeing a Wellcare patient, that patient would be seeing you out-of-network.
There has been some confusion at our practices about which Meridian product lines Lakeland Care Network providers participate with.
Here's a summary for you:
Meridian’s COMMERCIAL product is called “Ambetter” and Lakeland Care providers are par
This article is a repeat of information from Humana on resources that will allow offices to find out answers to their questions:
Blue Cross Blue Shield of Michigan and Blue Care Network are transitioning to Availity® Essentials for our provider portal.
From Humana:
Attached are some resources that help with understanding Humana’s home health determinations. There is a brief webinar offered in the Making It Easier series for Home Health billing (link below).
Dear Medical Care Group Business Administrator:
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Dear Medical Care Group Business Administrator,
From Meridian: Below is the MDHHS Bulletin to provide information on Homecare Services; NPs or PAs can no longer order for Homecare Services. Only a physician can place these orders effective January 1, 2022.
Meridian has shared some additional phone numbers for offices to utilize if they are finding issues thru the provider portal in obtaining authorizations.
Meridian Complete:
Please read the latest news from United Healthcare in their attached Bulletin.
Priority Health has provided their Spring 2022 Physican and Practice Newsletter; please read the full detail in the attachment
Dear Medical Care Group Business Administrator:
From Priority Health:
Please see your April 2022 Collateral from United Healthcare, and if you have not signed up for their Network Bulletin to be sent to you on a monthly basis please visit www.uhcprovider.com to sign up.
Attached are the March 2022 monthly handouts and process changes from Meridian:
Humana has provided the latest provider manual and links to their resources for your office use.
Please sign up for tailored emails directly to your desk on topics that your office finds valueable from UHC at the below link:
From Aetna Better Health - the March 22 Monthly Informational handouts:
On March 4, 2022, BCN mailed a letter to one or more of your primary care physicians who have BCN AdvantageSM patients who are eligible for a new precision medicine pilot program using pharmacogenomic (PGx) testing.
Attached is the quarterly compliance newletter from Aetna.
Effective April 1, 2022, Meridian’s Medicaid provider portal will be available on a new platform.
Registration for the new portal opens on March 1, 2022 and can be completed at:
provider.mimeridian.com
Attached you will find the Meridian February 2022 Monthly Informational Handouts covering the following topics:
To our offices from Aetna Better Health:
Attached are the February 2022 monthly updates on the following topics:
Provided to our office from Aetna:
Sometimes there is a lot of information regarding payors that is confusing to our offices on what is or is not participating.
Aetna Signature Administrator (ASA) are PAR with Lakeland Care Network.
Dear BCN Medical Care Group Business Administrator: