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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:
Required lead time when updating your provider information  (Administrative) P, F, A
New acupuncture benefit and network now in effect (Medical) P
View up-to-date policy activity on our Medical Policy Portal  (Medical) P, F, A
Will you receive payment for services provided to your Independence CHIP members? (Administrative) P, F, A
BlueCard® PPO Host claim submission made simple  (BlueCard) P, F, A
Reminder of changes to our Medicare Advantage plans for 2019 (Products) P, F, A
Suicide: A concern for all health care providers – Part 2 (Quality Management) P
Changes coming to application of Modifier 59 in 2019 (Billing & Reimbursement) P, F, A
Reminder: Billing guidelines for BlueCard® claims for lab, DME, and specialty pharmacy providers  (BlueCard) A
Reminder: Proper submission of your MAT recognition form and waiver (Pharmacy) P
Reminder: Online PreCheck MyScript tool provides insight into member pharmacy benefits (Pharmacy) P, F, A
Changes to the management of CAPS drugs now in effect (Medical) P, F
Overpayment impacting January 2019 capitation and PCP quality incentive payments for panels with Keystone 65 Focus Rx membership only (Billing & Reimbursement) P
Updated payer ID grids now available  (Billing & Reimbursement) P, F, A
Blue Distinction® Total Care program adds a new designation (Quality Management) P
Frequency limit established for trigger point injections for myofascial pain syndrome (Medical) P
Updated list of specialty drugs that require precertification now in effect (Medical) P, F, A
Updated medical benefit specialty drug cost-sharing list now in effect (Medical) P, F, A
New policy on pediatric intensive day feeding program (Medical) P
Prescribe fitness to help your Medicare Advantage patients prevent or control type 2 diabetes (Health and Wellness) P
Reminder: New medical records retrieval vendor (BlueCard) P, F, A
Update: BCBSA high-dollar prepayment claims review policy (Billing & Reimbursement) 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.