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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:
Health Coaching: Programs to enhance the coordination of care for Independence members with health concerns  (Health and Wellness) P
Updated InterQual Criteria for 2019 (Medical) P, F, A
Checking the status of AIM and eviCore authorization requests on NaviNet® Open (NaviNet) P, F, A
Specialty drugs that require precertification as of July 1, 2019 (Medical) P, F, A
The medical benefit specialty drug cost-sharing list updated as of July 1, 2019 (Medical) P, F, A
Clinical Appropriateness Guidelines for Advanced Imaging of the Heart updated as of July 1, 2019 (Medical) P
Clinical Appropriateness Guidelines for Arterial Ultrasound updated as of July 1, 2019 (Medical) P
Clinical Appropriateness Guidelines for Radiology updated as of July 1, 2019 (Medical) P
Radiation Therapy Clinical Guidelines updated as of July 1, 2019 (Medical) P
No bones about it: Exercise may help your Medicare Advantage patients prevent osteoporosis (Health and Wellness) P
National Drug Code submission guidelines for co-packaged products listed as kits and multi-level packaged products (Billing & Reimbursement) P, A
BlueCard Host claims to be rejected if information is incomplete (BlueCard) P
Enhancements to the NaviNet Open Authorization Log attestation workflow (NaviNet) P, F, A
Required lead time when updating your provider information  (Administrative) P, F, A
New Dosage and Frequency Program webpage now available  (Medical) P, F, A
Registered Nurse Health Coaches: Supporting providers and their patients (Health and Wellness) P
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
View up-to-date policy activity on our Medical Policy Portal  (Medical) P, F, A
Becoming a credentialed professional provider (Administrative) P
Claim investigation and corrected claim submission procedures (NaviNet) P, F, A
Enhanced claim edits to align with industry standard billing rules for DME and P&O billing providers beginning August 1, 2019 (Billing & Reimbursement) 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.