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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:
Independence among Blue Cross and Blue Shield companies partnering with Civica Rx  (Pharmacy) P, F, A
Sepsis: Criteria for documenting, coding, and billing  (Medical) P, F, A
View up-to-date policy activity on our Medical Policy Portal  (Medical) P, F, A
Required lead time when updating your provider information  (Administrative) P, F, A
Now in effect: New policy criteria for treatment of osteoarthritis of the knee (Medical) P
Changes to physical therapy and occupational therapy precertification requirements for Medicare Advantage members now in effect  (Medical) P
Changes to reimbursement of consultation codes for commercial members  (Medical) P
Clinical documentation improvements and general coding tips for Medicare Advantage members (Billing & Reimbursement) P
Improved method to contact our Provider Network Services team (Administrative) P, F, A
New medical and pharmacy product portfolios now available  (Products) P, F, A
What’s new for 2020 Medicare Advantage plans? (Products) P, F, A
Register now! Use our PEAR portal to manage clinical and financial activities  (PEAR portal) P
Enhanced claim edits to support correct coding principles and important information about professional reporting of observation care (Billing & Reimbursement) P, F, A
Updated payer ID grids now available  (Billing & Reimbursement) P, F, A
Updated list of specialty drugs that require precertification now in effect (Medical) P, F, A
Updates to the medical benefit specialty drug cost-sharing list for 2020 (Medical) P, F, A
Now in effect: Changes to precertification requirements for intravitreal VEGF products effective January 1, 2020 (Medical) P
Seven drugs to be added to the Most Cost-Effective Setting Program  (Medical) P, F
Significant change to CMS time frames for Medicare Part B drug requests  (Medical) P, F, A
Updates to Magellan Care Guidelines for transcranial magnetic stimulation treatment (Medical) P
Upcoming changes to our value-based incentive programs  (Quality Management) P
New Medicare card transition period ends December 31, 2019 (Administrative) 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.