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Posted: 12/30/2021
Total Health Care Providers: How to Submit Your Healthy Michigan Patients’ HRA Forms / Health Plan News
Following the merger with Total Health Care (THC), there are instructions for legacy THC providers on how to submit their Healthy Michigan patients’ Health Risk Assessments (HRAs) and how their incentive payments will be made.
Posted: 12/30/2021
Priority Heath Has Made Enhancements to Prism / Health Plan News
The Priority Health team is continuously enhancing prism to make it even better.
Posted: 12/30/2021
Priority Health’s Annual Chart Reviews Beginning for Commercial Members / Health Plan News
Starting in the coming weeks, Inovalon and a new partner, CIOX Health, will perform a medical record review for risk adjustment services for Individual and Small Group members on Priority Health’s behalf.
Posted: 12/30/2021
Priority Health Is Continuing Extended Prior Authorizations for Elective Procedures Delayed Due to COVID-19 / Health Plan News
Considering the recent surge in COVID-19 cases in the communities they serve, Priority Health is continuing their prior authorization extension for elective procedures.
Posted: 12/23/2021
HAP is Reprocessing 2021 Inpatient Claims / Health Plan News
Due to a recent technology update in the HAP claim system, they are reprocessing certain inpatient claims with 2021 dates of service.
Posted: 12/21/2021
ECHO Payment System Currently Unable to Produce 835 Files for Some Providers / Health Plan News
Blue Cross Complete uses Change Healthcare for Electronic Funds Transfer. Their ECHO payment system is currently experiencing issues with production of 835 remittance advice files for some providers. Change Healthcare is working to resolve this as quickly as possible.
Posted: 12/17/2021
Claims for Pfizer COVID-19 Vaccines for Children with Blue Cross Commercial Coverage / Health Plan News
Rejections when submitting claims for the Pfizer COVID-19 vaccines for children ages 5 through 11.
Posted: 12/17/2021
National Imaging Associates to Manage Diagnostic Imaging Services for Blue Cross Complete / Health Plan News
Blue Cross Complete of Michigan has entered into an agreement with National Imaging Associates, Inc.
Posted: 12/15/2021
Clinical Review Requirements Suspended for Admission to Skilled Nursing Facilities from All Michigan Hospitals Due to COVID-19 Surge / Health Plan News
Blue Cross Complete is temporarily suspending clinical review requirements for the first three days of admission to skilled nursing facilities from all Michigan hospitals due to the continuing surge of COVID-19 cases.
Posted: 12/14/2021
Michigan Collaborative for Type 2 Diabetes Resource Library / OSP News
The Michigan Collaborative for Type 2 Diabetes (MCT2D) is the first collaborative quality initiative (CQI) to be implemented at the primary care level. The mission of this CQI is to prevent and reverse the progression of type 2 diabetes using three key initiatives.
Posted: 12/08/2021
HAP Updates for December 2021 / Health Plan News
HAP Updates for December 2021 can be found in the HAP Provider Newsroom.
Posted: 12/07/2021
Molina Communication for December 2021 / Health Plan News
This article is a comprehensive communication of Molina operational updates as of December 2021.
Posted: 12/01/2021
Blue Cross Complete (BCC) of Michigan December 2021 Complete Update / Health Plan News
Blue Cross Complete (BCC) of Michigan December 2021 Complete Update.
Posted: 11/30/2021
Total Health Care Members Newly Transferred to Priority Health Choice Medicaid May Have Benefit Changes / Health Plan News
Total Health Care (THC) members newly transferred to Priority Health Choice Medicaid on October 1, 2021, may have changes to their benefits.
Posted: 11/29/2021
Thank You for Attending OSP's Virtual Office Leadership Forum! / OSP News
Oakland Southfield Physicians (OSP) would like to thank everyone that attended the final OSP Virtual Office Leadership Forum held on October 13, 2021. This article highlights the information presented and our upcoming 2022 event schedule.
Posted: 11/29/2021
Priority Health Wants to Remind You: You Can Still Serve THC Members with Commercial Group and Individual Plans / Health Plan News
Priority Health still has commercial group and individual members with Total Health Care (THC) coverage.
Posted: 11/29/2021
Priority Health Clinical+ Access / Health Plan News
Priority Health recently announced the launch of a new HEDIS certified tool that will be used to view and close gaps in patient care. Submit your access form by December 10th to have access!
Posted: 11/29/2021
Priority Health Has Changes Coming to the Appeals Process / Health Plan News
Your needs as a network partner are always top of mind for Priority Health. They’re constantly seeking ways to innovate and evolve to ease your burden.
Posted: 11/19/2021
Molina Communication for November 2021 / Health Plan News
This article is a comprehensive communication of Molina operational updates as of November 2021.
Posted: 11/15/2021
Help Patients Navigate Medicare Part D Plan Options for 2022 / OSP News
This complimentary article from Pharmacy Technician's Letter is being provided to readers of Pharmacist's Letter, who may find its content relevant to their practice.