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December 2016 Edition Articles


2017 out-of-pocket maximums for commercial HMO, POS, and PPO members P, F, A
Behavioral health: Promoting provider communication and collaboration P
Benefits provided by BriovaRx® P, F, A
Discussing end-of-life care with your patients P
Easy to use online peer-to-peer request form P, F, A
Exciting changes coming to Partners in Health UpdateSM and the Provider News Center P, F, A
Health Coaches: Supporting your patients, our members P
New NaviNet® Claim Status Inquiry transaction delay P, F, A
New value-based insurance design program P, F, A
New Perinatal Guideline Summary now available P
Our prescription drug program and safe prescribing procedures P, F, A
Prescription drug updates P, F, A
Procedures for referring members for covered and non-covered services P, F, A
Professional Injectable and Vaccine Fee Schedule updates effective January 1, 2017 P, F, A
Reminder: Cost-sharing and billing requirements for Preventive colorectal cancer screening P, F
Reminder: Neulasta®: Updates to precertification requirements, sites of service, and coverage options P, F, A
Reminder: Upcoming changes to medical benefit specialty drug cost-sharing for 2017 P, F, A
Reminder: Upcoming changes to precertification requirements for 2017 P, F, A
Reminder: $0 copays on preferred diabetic supplies for Medicare Advantage members P, F, A
Required lead time when updating your provider information P, F, A
Select Drug Program® Formulary updates P, F, A
Upcoming HEDIS® medical record review P
View up-to-date policy activity on our Medical Policy Portal P, F, A
2016-2017 Clinical Practice Guideline Summary now available P
Member Wellness Guidelines available P




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