Testing has been delayed for our new web-based tool for requesting online prior authorizations for certain preference-sensitive procedures.
Starting Jan. 1, 2012, select insulin products will be available on the commercial formulary for a generic copay!
Effective January 1, 2012, high-risk medications will be removed from the Priority Health Medicare formulary.
New iCES tool is bringing transparency and simplicity to how claims are edited, and speeding up claims processing.
We will not implement new medical policies or prior authorization requirements for preference-sensitive procedures in July. The changes we announced in the April/May 2011 provider newsletter are on hold until our new, web-based technology is in place.
Priority Health has been overpaying capitation some of the time when a member selects a new PCP. Instead of paying only the new PCP, the system was paying both the new PCP and the old PCP.
Our new interactive voice recognition system makes it quicker and easier for you to get the information you need.
"Code with Confidence" evening course will be held at Priority Health in fall 2011.
Studies show that patients who are informed of all their treatment choices generally have the best outcomes and highest levels of satisfaction.
As part of our commitment to making affordable, excellent health care available to all, we're working to reduce fraud, waste and abuse in the health care system.
The Centers for Medicare and Medicaid Services recently determined that some drugs are always considered renal dialysis drugs when prescribed for a patient with end stage renal disease (ESRD).
You can now choose to subscribe to "Filemart digest" to get one email a day.
Priority Health has partnered with CenseoHealth to perform free in-home health assessments for a select group of our Medicare Advantage members.
The Priority Health Medical Affairs Committee met on Feb. 9, 2011, and made several changes to the company's medical policies.
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