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We've expanded our Partners in Performance program beyond incentive programs so we can work in new ways with PCPs, specialists, hospitals and health care systems.
Learn more.
Check eligibility, authorization status and claims, and manage your patients' health with our suite of provider tools.
See short online video demos of each tool.
(05/14/2013) Prior auth/step therapy requirements removed for more than 50 drugs
(05/09/2013) Grand Rapids coding workshop scheduled for Dec. 2013
(05/09/2013) Fee changes for modifiers 52, 53 and 73
(05/07/2013) New process for discharging patients, PCP reassignment notices
(05/06/2013) "Max. allowed unit" edit per dose of injectables begins July 1
(04/26/2013) Retrospective Medicare authorization procedure revised
(04/22/2013) Behavioral health standards reviewed
(04/16/2013) Incentive program updates
(04/16/2013) New cost and quality tool for patients
(04/03/2013) Behavioral Health to begin accepting info, discharges, assessments by fax
(04/01/2013) Changes to how we deliver the news to providers
(03/29/2013) Medicare payment reductions effective April 1
(03/28/2013) March formulary updates
(03/18/2013) Medicare reimbursement rules for LPCs and LLCs
(03/04/2013) New medical policies effective March 1 and April 1
(02/25/2013) AIM high-tech radiology codes updated
(02/21/2013) Medicaid primary care fee schedule update
(02/19/2013) WellCentive incentive program data for Jan. is missing
(02/14/2013) Fix for Auth Inquiry tool error
(02/11/2013) New drug classes added to Medicare high-risk meds list
(02/11/2013) Providers wanted to join our Autism Network Center of Excellence
(02/11/2013) Many Incentive Program updates in the latest newsletter
(02/07/2013) Update to the Medicaid "180-day" claim resubmission rule
(02/05/2013) Extra direct deposit may appear on 02/07/2013
(02/04/2013) Updated medical policy for Home care
(02/04/2013) January P&T Committee formulary updates added
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