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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:
Billing guidelines for coverage of intrauterine devices (IUDs)  (Billing & Reimbursement) P
Reminder: New acupuncture benefit and network (Medical) P
Our prescription drug program and safe prescribing procedures (Pharmacy) P
Reminder: Updates to the list of specialty drugs that will require precertification  (Medical) P, F, A
Reminder: Updates to the medical benefit specialty drug cost-sharing list (Medical) P, F, A
Medicare seven-day supply limit for first time opioid fills (Pharmacy) P
Reminder: New EFT requirement  (Administrative) P, F, A
Updated policies for facility reporting of observation services (Medical) F
BCBSA high-dollar prepayment claims review policy (Billing & Reimbursement) P, F, A
Independence drug program formulary updates (Pharmacy) P, F, A
Professional Injectable and Vaccine Fee Schedule updates effective January 1, 2019 (Billing & Reimbursement) P, F, A
Prescribing medications for the treatment of opioid addiction (Pharmacy) P
Authorized generic drug changes (Pharmacy) P
Quality ranking for primary care offices  (Quality Management) P
Required lead time when updating your provider information  (Administrative) P, F, A
Update to opioid management initiative (Pharmacy) P
View up-to-date policy activity on our Medical Policy Portal  (Medical) P, F, A
Collaboration between Independence and Penn Medicine yields unprecedented results (Administrative) P, F, A
New accreditation requirement for office-based varicose vein procedures (Quality Management) P
New products and improvements to existing plans for our Medicare members  (Products) P, F, A
Member benefit changes and clarifications for commercial members (Products) P, F, A
Enhanced claim edits to support correct coding principles and important information about self-funded groups (Billing & Reimbursement) P, F, A
Reminder: Important information regarding obtaining a PROMISeTM ID to render services to CHIP members (Administrative) P, F, A
Recent changes to CMS requirements and additions to Medicare Advantage Addendums (Billing & Reimbursement) P, F, A
Online PreCheck MyScript tool provides insight into member pharmacy benefits (Pharmacy) 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.