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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:
View up-to-date policy activity on our Medical Policy Portal  (Medical) P, F, A
Important news about the annual Synagis (palivizumab) distribution program  (Medical) P, F, A
Reminder: Important information regarding obtaining a PROMISeTM ID to render services to CHIP members (Administrative) P, F, A
Independence offers services to help patients communicate (Quality Management) P, F, A
Our Quality Management Program promotes quality of care and service  (Quality Management) P, F, A
Reminder! Authorization submission requirements through NaviNet  (NaviNet) P, F, A
Changes to the seasonal influenza vaccine recommendations for 2017 – 2018  (Medical) P
Member consent form for submitting appeals for cosmetic or E/I services (Administrative) F
ePRO reminder notifications for prescribers (Pharmacy) P
New acupuncture benefit and network (Medical) P
New Most Cost-Effective Setting Program webpage (Medical) P, F, A
Updated payer ID grids now available  (Billing & Reimbursement) P, F, A
Changes to reimbursement of anesthesia physical status modifiers (Medical) P
Changes to the management of CAPS drugs (Medical) P, F
Medicare Advantage plans: What’s new for 2019 (Products) P, F, A
Updated Radiation Therapy Clinical Guidelines now available (Medical) P
Reinstatement of edits for Excludes1 and Excludes2 notes  (Billing & Reimbursement) P, F, A
Updates to the medical benefit specialty drug cost-sharing list (Medical) P, F, A
Reminder: New EFT requirement (Administrative) P, F, A
Updates to the list of specialty drugs that will require precertification  (Medical) P, F, A
Introducing a new PCP-tiered benefit for 2019 (Products) P, F, A
Reminder: Change to BCBSA prefix assignments now in effect (Administrative) P, F, A
Updated information regarding lead time requirements when updating your provider information  (Administrative) P, F, A
Registered Nurse Health Coaches: Supporting providers and patients (Health and Wellness) P
Updated policy on proton beam radiation therapy (Medical) P
View up-to-date policy activity on our Medical Policy Portal  (Medical) 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.