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BCBSM Wants Physicians to Know They Can Use Telehealth to Help Close Patient Gaps in Care / Health Plan News
Physicians can use telehealth to help meet patients’ preventive care needs and provide treatment for patients with chronic conditions.
Priority Health Reminder: Submit Post-claim Appeals and Medical Records Through the Claims Tool / Health Plan News
Priority Health changed how you submit appeals and medical records related to an existing claim (i.e. post-claim), which allows them to return decisions faster.
HAP Updates for October 2020 / Health Plan News
HAP Updates for October 2020.
HAP Physician Incentive - Pharmacy Statin Therapy / Health Plan News
HAP’s pharmacy area is getting ready to send letters directly to physicians asking to partner with them and improve performance for the following two statin drug therapy related to the HEDIS quality measures.
Blue Cross Complete Payment Systems / Health Plan News
Blue Cross Complete will implement payment systems to meet providers’ requests for more payment options.
On-Demand Medication Adherence Reports / OSP News
OSP has developed and refined physician level reports that include patient-specific data to assist with medication adherence for incentivized drug classes.
Blue Cross Complete is implementing an obstetrical ultrasounds examination policy update and a non-obstetrical pelvic ultrasounds policy update, as of November 1, 2020.
Oakland Southfield Physicians has rolled out some new functions and features on www.ospdocs.com.
The Centers for Medicare & Medicaid Services (CMS) Launches Groundbreaking Model to Lower Out of Pocket Expenses for Insulin / OSP News
The Part D Senior Savings Model allows Medicare Part D prescription drug plans to offer beneficiaries plan choices that provide a broad range of insulins at a $35 copay.
HAP Empowered Medicaid Claims Denied in Error for Care Management Codes / Health Plan News
HAP discovered some care management claims submitted for 2020 dates of service for HAP Empowered Medicaid members denied in error.
Completed Blue Cross Complete Provider Portal NaviNet Emergency Maintenance / Health Plan News
NaviNet is currently offline for emergency maintenance.
New Partnership with EyeMed to Manage Routine Vision Benefits / Health Plan News
HAP is pleased to announce their partnership with EyeMed to manage the vision benefit for routine eye care for HAP Medicare Individual members and HAP Empowered Duals (HMO SNP) members.
Molina Communication for October 2020 / Health Plan News
Molina Communication for October 2020.
Molina Provider Newsletters / Health Plan News
As a valuable partner in Molina Healthcare’s provider network, Molina strives to keep open lines of communication, provide important news and updates, and share helpful information with you about the health plan and the health care industry, through a variety of mediums.
Blue Cross Complete (BCC) of Michigan September/October 2020 Newsletter / Health Plan News
Blue Cross Complete (BCC) of Michigan September/October 2020 Newsletter.
Michigan Department of Health and Human Services released a letter with an update on the behavioral health system transformation efforts and the plan announced earlier this year to establish Specialty Integrated Plans starting in fall 2022.
Blue Cross Complete (BCC) of Michigan October 2020 Complete Update / Health Plan News
Blue Cross Complete (BCC) of Michigan October 2020 Complete Update.
Blue Cross Complete Data Center Scheduled Maintenance Update / Health Plan News
Blue Cross Complete Data Center Scheduled Maintenance.
HAP Updates for September 2020 / Health Plan News
HAP Updates for September 2020.
Blue Cross Complete Offers Well Child Coding Tips / Health Plan News
Coding HEDIS measures accurately can assist you in identifying and eliminating gaps in care.