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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 drug program formulary updates (Pharmacy) P, F, A
Preventive coverage of exercise interventions for the prevention of falls for commercial members (Medical) P, F, A
Measles disease outbreak and vaccine coverage for Independence commercial members (Medical) P
View up-to-date policy activity on our Medical Policy Portal  (Medical) 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
Cost-sharing and billing requirements for preventive colonoscopy and flexible sigmoidoscopy (Medical) P
Preferred Skilled Nursing Facility Program now available for eligible Independence Medicare Advantage members (Quality Management) P
Upcoming precertification requirement for non-emergent inpatient transfers, including ambulance transport  (Administrative) F
Updates to the medical benefit specialty drug cost-sharing list (Medical) P, F, A
Clinical Appropriateness Guidelines for Advanced Imaging of the Heart to be updated (Medical) P
Clinical Appropriateness Guidelines for Arterial Ultrasound to be updated (Medical) P
Clinical Appropriateness Guidelines for Radiology to be updated (Medical) P
Required lead time when updating your provider information  (Administrative) P, F, A
Improving lead testing and developmental screening among CHIP members  (Health and Wellness) P
Updated Radiation Therapy Clinical Guidelines (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.