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 Partners in Health UpdateSM

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View the latest news and information specific to the Independence-participating provider community below:
New drugs to be added to the Dosage and Frequency Program  (Medical) P, F, A
Updates to the list of specialty drugs that require precertification  (Medical) P, F, A
Thorough completion of prescription drug prior authorization forms linked to improved member satisfaction (Pharmacy) P, F
Resolved: Overpayment impacting January 2019 capitation and PCP quality incentive payments for panels with Keystone 65 Focus Rx membership only (Billing & Reimbursement) P
Check member ID card and verify eligibility with every visit (Administrative) P, F, A
2019 out-of-pocket maximums for commercial HMO, POS, and PPO members  (Administrative) P, F, A
Reminder: Prior authorization update regarding low-dose opioid therapy (Pharmacy) P
Four drugs added to Most Cost-Effective Setting Program  (Medical) P, F, A
Four drugs added to the Dosage and Frequency Program  (Medical) P, F, A
Reminder: New accreditation requirement for office-based varicose vein procedures (Quality Management) P
Reminder: Updated credentialing requirements for CRNPs and PAs (Medical) P
Required lead time when updating your provider information  (Administrative) P, F, A
New acupuncture benefit and network now in effect (Medical) P
View up-to-date policy activity on our Medical Policy Portal  (Medical) P, F, A
Will you receive payment for services provided to your Independence CHIP members? (Administrative) P, F, A
BlueCard® PPO Host claim submission made simple  (BlueCard) P, F, A
Reminder of changes to our Medicare Advantage plans for 2019 (Products) P, F, A

NaviNet Resources

To help you navigate our secure, online provider portal and various transactions, we have created a central location for a variety of NaviNet resources, including user guides, webinars, and a communications archive.

NaviNet Resources

Opioid Awareness

We have created a repository of tools and resources to assist you in managing your patients who are prescribed opioid medications.

Opioid Awareness Resources

Utilization Management

Certain utilization review activities are delegated to different entities. Here you will find detailed information on our utilization management programs and common resources used among them.

Utilization Management

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Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia and southeastern Pennsylvania.