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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:
Updated Radiation Therapy Clinical Guidelines (Medical) P
Clarification to billing guidelines for BlueCard claims for lab, DME, and specialty pharmacy providers  (BlueCard) A
Important deadline: Register before July 1, 2019, for a PROMISeTM ID to receive payment for services provided to your Independence CHIP members! (Administrative) P, F, A
Enhanced claim edits to align with industry standard billing rules for DME and P&O billing providers (Billing & Reimbursement) A
FDA releases statement on the efficacy of Lartruvo (Medical) P, F, A
Encourage your Independence Medicare Advantage patients to make healthy food choices and stay active (Health and Wellness) P
Health Coaching: Programs to enhance the coordination of care for Independence members with health concerns  (Health and Wellness) P
Independence health rewards for eligible Medicare Advantage members (Health and Wellness) P
Registered Nurse Health Coaches: Supporting providers and their patients  (Health and Wellness) P
Self-funded groups must elect to participate in vendor-based utilization management programs (Administrative) P, F, A
Mumps disease outbreak and vaccine coverage for Independence commercial members (Medical) P
Help fight against fraud, waste, and abuse (Administrative) P, F, A
Updates to Direct Ship Drug Program list (Medical) P, F, A
Quil appoints a new CEO (Administrative) P, F, A
Reminder: Updated reimbursement policies for CRNPs and PAs  (Medical) P
Deadline extension for accreditation requirement for office-based varicose vein procedures (Quality Management) P
Prior authorization requirement for continuing low-dose opioid therapy now in effect (Pharmacy) P
Claim reprocessing for multiple procedure payment reductions on certain diagnostic services (Billing & Reimbursement) P
View up-to-date policy activity on our Medical Policy Portal  (Medical) P, F, A
Ensure proper routing of CFID audit questions (Administrative) P, F, A
Important deadline: Register before July 1, 2019, for a PROMISeTM ID to receive payment for services provided to your Independence CHIP members! (Administrative) P, F, A
Required lead time when updating your provider information  (Administrative) P, F, A
Claim investigation and corrected claim submission procedures (NaviNet) 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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