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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:
Save the date! Pennsylvania will host Medication-Assisted Treatment Regional Summits this fall (Medical) P
Claim investigation and corrected claim submission procedures (NaviNet Open) P, F, A
Staying connected with you through Provider Engagement Forums (Administrative) P, F, A
Important information! CRNP contracting and credentialing (Medical) P
Registered Nurse Health Coaches: Supporting providers and their patients  (Health and Wellness) P
Encourage pregnant Independence members to enroll in Baby BluePrints  (Health and Wellness) P
New resources to improve physical accessibility for people with disabilities (Administrative) P, F, A
Coverage criteria for the annual Synagis (palivizumab) distribution program  (Medical) P, F
AIM to allow pre-service review for arterial ultrasounds  (Medical) P
Now in effect: Enhanced claim edits to align with industry standard billing rules for injectable drugs and biological agents (Billing & Reimbursement) P, F, A
Reminder: Tysabri added to the Most Cost-Effective Setting Program  (Medical) P, F
Clinical Appropriateness Guidelines for Radiology to be updated (Medical) P
Now in effect: New claim payment policies for multiple therapies  (Medical) F
Changes to the Most Cost-Effective Setting Program: Pediatric exception (Medical) P, F
Professional Injectable and Vaccine Fee Schedule updates effective October 1, 2019 (Billing & Reimbursement) P, F, A
Independence drug program formulary updates (Pharmacy) P, F, A
Skilled nursing, subacute, and inpatient rehabilitation facility admission guidelines (Medical) F
Required lead time when updating your provider information (Administrative) P, F, A
View up-to-date policy activity on our Medical Policy Portal (Medical) P, F, A

NaviNet® Open

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

NaviNet Open


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.