Showing Page 6 of 8
Posted: 12/01/2020
Meridian Will be Consolidating Their Clearinghouse Come January 2021 / Health Plan News
Meridian is using Availity as the single clearinghouse (EDI Gateway) to receive all claims transactions.
Posted: 11/23/2020
Blue Cross Complete Scheduled Maintenance Notice – Reminder / Health Plan News
Please be advised that Blue Cross Complete’s Facets, JIVA, provider portals, member portal and health plan website will be temporarily unavailable due to a planned maintenance event.
Posted: 11/20/2020
HAP Updates for November 2020 / Health Plan News
HAP Updates for November 2020.
Posted: 11/17/2020
Molina 2020 MMP Provider Manual Update / Health Plan News
The 2020 MMP Provider Manual Section15 Member Grievances and Appeals has been updated.
Posted: 11/16/2020
MDHHS and DTMB Roll Out COVID-19 Exposure Alert App Statewide / OSP News
As part of the state’s continued efforts to slow the increasing spread of COVID-19, the Michigan Department of Health and Human Services (MDHHS) and Michigan Department of Technology, Management and Budget (DTMB) today announced the statewide rollout of the COVID-19 exposure notification app MI COVID Alert.
Posted: 11/09/2020
Blue Cross Complete (BCC) of Michigan November/December 2020 Newsletter / Health Plan News
Blue Cross Complete (BCC) of Michigan November/December 2020 Newsletter.
Posted: 11/06/2020
Molina Monthly Topics November 2020 / Health Plan News
Molina Monthly Topics November 2020.
Posted: 11/06/2020
Molina’s Model of Care (MOC) Training 2020 Reminder / Health Plan News
Molina Healthcare of Michigan is required to provide annual training to their entire Medicare contracted provider network, regarding its MOC program for dual eligible enrollees.
Posted: 11/05/2020
Blue Cross Complete HEDIS Telehealth Guidelines / Health Plan News
Blue Cross Complete wants to let you know that you can close your member care gaps and meet the National Committee for Quality Assurance (NCQA) HEDIS guidelines by utilizing telehealth visits for your member.
Posted: 10/30/2020
HAP’s Anesthesia Reimbursement Policy Update / Health Plan News
HAP has updated the neuraxial labor analgesia reimbursement calculations section in their anesthesia policy to be consistent with industry standards.
Posted: 10/30/2020
Blue Cross Complete Prior Authorization Lookup Tool Available / Health Plan News
Blue Cross Complete (BCC) is excited to introduce the new Prior Authorization Lookup tool.
Posted: 10/28/2020
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.
Posted: 10/23/2020
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.
Posted: 10/22/2020
HAP Updates for October 2020 / Health Plan News
HAP Updates for October 2020.
Posted: 10/20/2020
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.
Posted: 10/20/2020
Blue Cross Complete Payment Systems / Health Plan News
Blue Cross Complete will implement payment systems to meet providers’ requests for more payment options.
Posted: 10/20/2020
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.
Posted: 10/14/2020
Blue Cross Complete Obstetrical and Non-obstetrical Ultrasound Policy Updates / Health Plan News
Blue Cross Complete is implementing an obstetrical ultrasounds examination policy update and a non-obstetrical pelvic ultrasounds policy update, as of November 1, 2020.
Posted: 10/13/2020
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.
Posted: 10/13/2020
New Functions and Features Within the OSP Website / OSP News
Oakland Southfield Physicians has rolled out some new functions and features on www.ospdocs.com.
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