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June 2015 Edition Articles


Appropriate use of Suboxone® P
Clarification: Independence's guidelines for submitting authorizations and referrals P, F, A
Coming soon: Easy to use online peer-to-peer request form P, F, A
Ensuring better drug coverage determination outcomes for you and your patients P
Gender reassignment surgery claims for Medicare Advantage members P, F
Help prevent identity theft and insurance fraud P, F, A
Improvements to spending account payment integration P, F, A
Join us for the next What’s Up Wednesday call on June 17, 2015 P, F, A
Medical and claim payment policy activity posted from April 25 – May 22, 2015 P, F, A
New changes to NaviNet scheduled for July release P, F, A
New medical policy criteria for commercial members in treatment for osteoarthritis of the knee P
Prescription drug updates P, F, A
Professional Injectable and Vaccine Fee Schedule updates effective July 1, 2015 P, F, A
Reminder: Transitioning outstanding Accounts Receivable balances to new platform P, F
Select Drug Program® Formulary updates P, F, A
Updated InterQual® guidelines for 2015 P, F, A
Urgent care centers and retail health clinics are alternatives to the ER when physicians are unavailable P, F




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