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August 2014 Edition Articles


Benefit tier re-evaluation for Keystone HMO Proactive P
Coding guidelines for spinal fusion procedures F
Encourage pregnant IBC members to register for Baby BluePrints® P
Ensure successful submission of CMS-1500 claim forms and an updated toolkit now available P, A
Get up-to-date news and information at our Provider News Center P, F, A
Health Coaches: Supporting your patients, our members P
Highlighting HEDIS®: Colorectal cancer screening P
IBC's policy on locum tenens P
IBX Wire to include new gap-in-care messages
P
Medical and claim payment policy activity posted from June 25 – July 25, 2014 P, F, A
New Allowance Inquiry transaction coming to NaviNet® this fall P, F, A
Pilot programs available to select patients likely to be hospitalized P
Pre-service review for out-of-area members will be made available through NaviNet® P, F
Reminder: 90-day grace period for APTC members P, F, A
Reminder: Change to IBC’s outpatient laboratory network now in effect P, F, A
Reminder: Out-of-pocket maximums for commercial HMO, POS, and PPO members P, F, A
Reminder: Participating providers must submit all claims for IBC members to IBC P, F
Reminder: Provider financial responsibility for preapproval of inpatient facility services for out-of-area members F
Reminder: Upcoming changes to Medicare Advantage HMO and PPO policies and clinical relationship logic P, F, A
Stay informed during our transition to the new platform P, F, A
Upcoming changes to IBC’s post-service appeals and grievance processes P




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