cumulativeindex

Turn on more accessible mode

Turn off more accessible mode

Skip Ribbon Commands

Skip to main content

Turn off Animations

Turn on Animations

Provider News Center

Share

Focus on Content

Billing & Reimbursement

Health and Wellness

Quality Management

Cumulative Index

The Provider Publication Cumulative Index is an annually updated index of articles published in our provider publications, including Partners in Health Update, Inside IPP (discontinued in December 2015), Coding Guidelines and Policy Updates (discontinued in the fall of 2008), and Clinical Update (discontinued in the Spring of 2007).

Effective January 1, 2017, archived articles can be accessed by selecting the appropriate year and month below. The articles are listed in descending chronological order.

Archive of publication-based communications prior to 2017:

2023 Updates

2022 Updates

2021 Updates

2020 Updates

2019 Updates

Blue
2018 Updates
- •
  New policy on pediatric intensive day feeding program (Medical)
  Posted: 12/28/2018 , Audience: P
- •
  Prescribe fitness to help your Medicare Advantage patients prevent or control type 2 diabetes (Health and Wellness)
  Posted: 12/28/2018 , Audience: P
- •
  Update: BCBSA high-dollar prepayment claims review policy (Billing & Reimbursement)
  Posted: 12/26/2018 , Audience: P, F, A
- •
  Reminder: New medical records retrieval vendor (BlueCard)
  Posted: 12/26/2018 , Audience: P, F, A
- •
  Introducing a new palliative care program (Medical)
  Posted: 12/20/2018 , Audience: P
- •
  New coverage option for FEP members (Products)
  Posted: 12/20/2018 , Audience: P, F, A
- •
  Will you receive payment for services provided to your Independence CHIP members? (Administrative)
  Posted: 12/20/2018 , Audience: P, F, A
- •
  Identifying Preferred PCPs and the required copayments (Products)
  Posted: 12/20/2018 , Audience: P
- •
  Updated Provider Services call center holiday hours (Administrative)
  Posted: 12/20/2018 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 12/19/2018 , Audience: P, F, A
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 12/17/2018 , Audience: P, F, A
- •
  2018-2019 Clinical Practice Guideline Summary now available (Quality Management)
  Posted: 12/14/2018 , Audience: P
- •
  Outbreak of life-threatening coagulopathy associated with synthetic cannabinoids use (Medical)
  Posted: 12/14/2018 , Audience: P
- •
  Reminder: New accreditation requirement for office-based varicose vein procedures (Quality Management)
  Posted: 12/14/2018 , Audience: P
- •
  Reminder: Enhanced claim edits to support correct coding principles and important information about self-funded groups (Billing & Reimbursement)
  Posted: 12/14/2018 , Audience: P, F, A
- •
  Improving lead testing and developmental screening among CHIP members (Quality Management)
  Posted: 12/11/2018 , Audience: P
- •
  Reminder: Online PreCheck MyScript tool provides insight into member pharmacy benefits (Pharmacy)
  Posted: 12/10/2018 , Audience: P, F, A
- •
  Important information about the Medicare Outpatient Observation Notice (Administrative)
  Posted: 12/10/2018 , Audience: F
- •
  Introducing the new ePASS^® Next platform (Administrative)
  Posted: 12/10/2018 , Audience: P
- •
  Reminder: New acupuncture benefit and network (Medical)
  Posted: 12/6/2018 , Audience: P
- •
  Billing guidelines for coverage of intrauterine devices (IUDs) (Billing & Reimbursement)
  Posted: 12/6/2018 , Audience: P
- •
  Our prescription drug program and safe prescribing procedures (Pharmacy)
  Posted: 12/5/2018 , Audience: P
- •
  Reminder: Updates to the list of specialty drugs that will require precertification (Medical)
  Posted: 12/5/2018 , Audience: P, F, A
- •
  Reminder: Updates to the medical benefit specialty drug cost-sharing list (Medical)
  Posted: 12/5/2018 , Audience: P, F, A
- •
  Medicare seven-day supply limit for first time opioid fills (Pharmacy)
  Posted: 12/3/2018 , Audience: P
- •
  Reminder: New EFT requirement (Administrative)
  Posted: 12/3/2018 , Audience: P, F, A
- •
  Updated policies for facility reporting of observation services (Medical)
  Posted: 11/30/2018 , Audience: F
- •
  Professional Injectable and Vaccine Fee Schedule updates effective January 1, 2019 (Billing & Reimbursement)
  Posted: 11/29/2018 , Audience: P, F, A
- •
  Independence drug program formulary updates (Pharmacy)
  Posted: 11/29/2018 , Audience: P, F, A
- •
  BCBSA high-dollar prepayment claims review policy (Billing & Reimbursement)
  Posted: 11/29/2018 , Audience: P, F, A
- •
  Prescribing medications for the treatment of opioid addiction (Pharmacy)
  Posted: 11/28/2018 , Audience: P
- •
  Authorized generic drug changes (Pharmacy)
  Posted: 11/27/2018 , Audience: P
- •
  Quality ranking for primary care offices (Quality Management)
  Posted: 11/27/2018 , Audience: P
- •
  Update to opioid management initiative (Pharmacy)
  Posted: 11/26/2018 , Audience: P
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 11/26/2018 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 11/26/2018 , Audience: P, F, A
- •
  Collaboration between Independence and Penn Medicine yields unprecedented results (Administrative)
  Posted: 11/20/2018 , Audience: P, F, A
- •
  New accreditation requirement for office-based varicose vein procedures (Quality Management)
  Posted: 11/19/2018 , Audience: P
- •
  New products and improvements to existing plans for our Medicare members (Products)
  Posted: 11/19/2018 , Audience: P, F, A
- •
  Member benefit changes and clarifications for commercial members (Products)
  Posted: 11/16/2018 , Audience: P, F, A
- •
  Reminder: Important information regarding obtaining a PROMISe^TM ID to render services to CHIP members (Administrative)
  Posted: 11/14/2018 , Audience: P, F, A
- •
  Enhanced claim edits to support correct coding principles and important information about self-funded groups (Billing & Reimbursement)
  Posted: 11/14/2018 , Audience: P, F, A
- •
  Recent changes to CMS requirements and additions to Medicare Advantage Addendums (Billing & Reimbursement)
  Posted: 11/12/2018 , Audience: P, F, A
- •
  Online PreCheck MyScript tool provides insight into member pharmacy benefits (Pharmacy)
  Posted: 11/9/2018 , Audience: P, F, A
- •
  Four drugs added to Most Cost-Effective Setting Program (Medical)
  Posted: 11/5/2018 , Audience: P, F, A
- •
  Reminder: New EFT requirement (Administrative)
  Posted: 11/2/2018 , Audience: P, F, A
- •
  Updates to the list of specialty drugs that will require precertification (Medical)
  Posted: 11/1/2018 , Audience: P, F, A
- •
  Three drugs to be added to the Dosage and Frequency Program (Medical)
  Posted: 11/1/2018 , Audience: P, F, A
- •
  Reminder: Updates to the medical benefit specialty drug cost-sharing list (Medical)
  Posted: 11/1/2018 , Audience: P, F, A
- •
  Updated payer ID grids now available (Billing & Reimbursement)
  Posted: 11/1/2018 , Audience: P, F, A
- •
  Independence Blue Cross and Premier Orthopaedics reach a new five-year agreement (Administrative)
  Posted: 10/31/2018 , Audience: P, F, A
- •
  Suicide: A concern for all health care providers – Part 1 (Quality Management)
  Posted: 10/31/2018 , Audience: P
- •
  Updated Clinical Appropriateness Guidelines for Radiology now available (Medical)
  Posted: 10/29/2018 , Audience: P
- •
  Policy reminder regarding utilization review decisions (Quality Management)
  Posted: 10/25/2018 , Audience: P, F
- •
  Reminder: Reinstatement of edits for Excludes1 and Excludes2 notes (Billing & Reimbursement)
  Posted: 10/24/2018 , Audience: P, F, A
- •
  Important information regarding our new Preferred PCP benefit for 2019 (Products)
  Posted: 10/24/2018 , Audience: P, F, A
- •
  Health Coaching: Programs to enhance the coordination of care for Independence members with health concerns (Health and Wellness)
  Posted: 10/22/2018 , Audience: P
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 10/22/2018 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 10/18/2018 , Audience: P, F, A
- •
  Reminder: Important information regarding obtaining a PROMISe^TM ID to render services to CHIP members (Administrative)
  Posted: 10/17/2018 , Audience: P, F, A
- •
  Important news about the annual Synagis^® (palivizumab) distribution program (Medical)
  Posted: 10/17/2018 , Audience: P, F, A
- •
  Independence offers services to help patients communicate (Quality Management)
  Posted: 10/16/2018 , Audience: P, F, A
- •
  Our Quality Management Program promotes quality of care and service (Quality Management)
  Posted: 10/16/2018 , Audience: P, F, A
- •
  Reminder! Authorization submission requirements through NaviNet^® (NaviNet)
  Posted: 10/11/2018 , Audience: P, F, A
- •
  Changes to the seasonal influenza vaccine recommendations for 2017 – 2018 (Medical)
  Posted: 10/9/2018 , Audience: P
- •
  Member consent form for submitting appeals for cosmetic or E/I services (Administrative)
  Posted: 10/8/2018 , Audience: F
- •
  ePRO reminder notifications for prescribers (Pharmacy)
  Posted: 10/3/2018 , Audience: P
- •
  New acupuncture benefit and network (Medical)
  Posted: 10/3/2018 , Audience: P
- •
  New Most Cost-Effective Setting Program webpage (Medical)
  Posted: 10/3/2018 , Audience: P, F, A
- •
  Updated payer ID grids now available (Billing & Reimbursement)
  Posted: 10/2/2018 , Audience: P, F, A
- •
  Medicare Advantage plans: What’s new for 2019 (Products)
  Posted: 10/1/2018 , Audience: P, F, A
- •
  Updated Radiation Therapy Clinical Guidelines now available (Medical)
  Posted: 10/1/2018 , Audience: P
- •
  Changes to reimbursement of anesthesia physical status modifiers (Medical)
  Posted: 10/1/2018 , Audience: P
- •
  Changes to the management of CAPS drugs (Medical)
  Posted: 10/1/2018 , Audience: P, F
- •
  Updates to the medical benefit specialty drug cost-sharing list (Medical)
  Posted: 9/28/2018 , Audience: P, F, A
- •
  Reinstatement of edits for Excludes1 and Excludes2 notes (Billing & Reimbursement)
  Posted: 9/28/2018 , Audience: P, F, A
- •
  Reminder: New EFT requirement (Administrative)
  Posted: 9/26/2018 , Audience: P, F, A
- •
  Updates to the list of specialty drugs that will require precertification (Medical)
  Posted: 9/25/2018 , Audience: P, F, A
- •
  Introducing a new PCP-tiered benefit for 2019 (Products)
  Posted: 9/24/2018 , Audience: P, F, A
- •
  Updated information regarding lead time requirements when updating your provider information (Administrative)
  Posted: 9/21/2018 , Audience: P, F, A
- •
  Reminder: Change to BCBSA prefix assignments now in effect (Administrative)
  Posted: 9/21/2018 , Audience: P, F, A
- •
  Registered Nurse Health Coaches: Supporting providers and patients (Health and Wellness)
  Posted: 9/19/2018 , Audience: P
- •
  Updated policy on proton beam radiation therapy (Medical)
  Posted: 9/19/2018 , Audience: P
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 9/18/2018 , Audience: P, F, A
- •
  Reminder: Important information regarding obtaining a PROMISe^TM ID to render services to CHIP members (Administrative)
  Posted: 9/14/2018 , Audience: P, F, A
- •
  Update to multiple procedure payment reductions on certain diagnostic services (Medical)
  Posted: 9/14/2018 , Audience: P
- •
  Annual Synagis^® (palivizumab) distribution program approaching (Medical)
  Posted: 9/13/2018 , Audience: P, F, A
- •
  Update: Authorization submission requirements through NaviNet^® (NaviNet)
  Posted: 9/13/2018 , Audience: P, F, A
- •
  Updated payer ID grids now available (Billing & Reimbursement)
  Posted: 9/12/2018 , Audience: P, F, A
- •
  Four drugs to be added to the Dosage and Frequency Program (Medical)
  Posted: 9/11/2018 , Audience: P, F, A
- •
  Claim Editor link added to the NaviNet^® Claim Status Inquiry transaction (NaviNet)
  Posted: 9/10/2018 , Audience: P, F, A
- •
  New accreditation requirement for office-based varicose vein procedures (Quality Management)
  Posted: 9/7/2018 , Audience: P
- •
  Reimbursement for observation services with an ER visit (Medical)
  Posted: 9/6/2018 , Audience: P
- •
  Updated policies on aqueous shunts, microstents, viscocanalostomy, and canaloplasty for the treatment of glaucoma (Medical)
  Posted: 9/5/2018 , Audience: P
- •
  Help fight against fraud, waste, and abuse (Administrative)
  Posted: 8/31/2018 , Audience: P, F, A
- •
  New! Electronic prior authorization now available for providers (Pharmacy)
  Posted: 8/31/2018 , Audience: P
- •
  Upcoming change to the clinical review of Home Health services (Medical)
  Posted: 8/31/2018 , Audience: A
- •
  Independence drug program formulary updates (Pharmacy)
  Posted: 8/29/2018 , Audience: P, F, A
- •
  Professional Injectable and Vaccine Fee Schedule updates effective October 1, 2018 (Billing & Reimbursement)
  Posted: 8/29/2018 , Audience: P, F, A
- •
  Independence health rewards for Medicare Advantage members (Health and Wellness)
  Posted: 8/27/2018 , Audience: P
- •
  Ensure proper routing of CFID audit questions (Administrative)
  Posted: 8/27/2018 , Audience: P, F, A
- •
  Encourage your Medicare Advantage patients to exercise to improve memory (Health and Wellness)
  Posted: 8/24/2018 , Audience: P
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 8/24/2018 , Audience: P, F, A
- •
  Updated billing requirements for preventive colonoscopy and flexible sigmoidoscopy (Billing & Reimbursement)
  Posted: 8/23/2018 , Audience: P
- •
  Encourage pregnant Independence members to enroll in Baby BluePrints^® (Health and Wellness)
  Posted: 8/23/2018 , Audience: P
- •
  New precertification requirement for Onpattro^TM (patisiran) (Medical)
  Posted: 8/17/2018 , Audience: P, F, A
- •
  Reminder: Important information regarding obtaining a PROMISe^TM ID to render services to CHIP members (Administrative)
  Posted: 8/17/2018 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 8/16/2018 , Audience: P, F, A
- •
  Upcoming Risk Adjustment Data Validation audit assessment (Administrative)
  Posted: 8/10/2018 , Audience: P
- •
  Revised guidelines for colorectal cancer screening for average-risk-level adults (Medical)
  Posted: 8/9/2018 , Audience: P
- •
  Updated payer ID grids now available (Billing & Reimbursement)
  Posted: 8/8/2018 , Audience: P, F, A
- •
  Updated Radiation Therapy Clinical Guidelines (Medical)
  Posted: 8/8/2018 , Audience: P
- •
  Updated Clinical Appropriateness Guidelines for Radiology (Medical)
  Posted: 8/8/2018 , Audience: P
- •
  Updates to opioid coverage policy and formulary management (Pharmacy)
  Posted: 8/7/2018 , Audience: P, F, A
- •
  Temporary edit suspension for Excludes1 and Excludes2 notes (Billing & Reimbursement)
  Posted: 8/7/2018 , Audience: P, F, A
- •
  New Provider EOB message for QMB program claims (Billing & Reimbursement)
  Posted: 8/3/2018 , Audience: P, F, A
- •
  Introducing the On To Better Health program (Health and Wellness)
  Posted: 8/3/2018 , Audience: P
- •
  Reminder: Comprehensive Care Program (Quality Management)
  Posted: 8/2/2018 , Audience: P
- •
  Authorization submission requirements through NaviNet^® (NaviNet)
  Posted: 8/2/2018 , Audience: P, F, A
- •
  New! Fax notifications from FutureScripts^® Secure when Medicare Advantage members are late to refill medications (Pharmacy)
  Posted: 8/1/2018 , Audience: P, F
- •
  Reminder: NaviNet^® Eligibility and Benefits Inquiry transaction benefit provisions links (NaviNet)
  Posted: 8/1/2018 , Audience: P, F, A
- •
  Member Care Cost Estimator tool now available (Administrative)
  Posted: 7/30/2018 , Audience: P, F, A
- •
  Clarification: Collecting member cost-sharing (Administrative)
  Posted: 7/27/2018 , Audience: P, F, A
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 7/25/2018 , Audience: P, F, A
- •
  Coordination of care improves member outcomes (Quality Management)
  Posted: 7/24/2018 , Audience: P
- •
  Claim denial issues and resolution (Billing & Reimbursement)
  Posted: 7/19/2018 , Audience: P, F, A
- •
  Reminder: Important information regarding obtaining a PROMISe^TM ID to render services to CHIP members (Administrative)
  Posted: 7/19/2018 , Audience: P, F, A
- •
  Health Coaching: Programs to enhance the coordination of care for Independence members with health concerns (Health and Wellness)
  Posted: 7/19/2018 , Audience: P
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 7/18/2018 , Audience: P, F, A
- •
  Reminder: Change to BCBSA prefix assignments now in effect (Administrative)
  Posted: 7/18/2018 , Audience: P, F, A
- •
  Updated InterQual^® Criteria for 2018 (Medical)
  Posted: 7/16/2018 , Audience: P, F, A
- •
  Reviewing your provider demographic information in the Independence provider directory (Administrative)
  Posted: 7/11/2018 , Audience: P
- •
  New account administrator for spending account payments (Billing & Reimbursement)
  Posted: 7/10/2018 , Audience: P, F, A
- •
  Three drugs to be added to the Dosage and Frequency Program (Medical)
  Posted: 7/10/2018 , Audience: P, F, A
- •
  Updates to the medical benefit specialty drug cost-sharing list now in effect (Medical)
  Posted: 7/2/2018 , Audience: P, F, A
- •
  Updated payer ID grids now available (Billing & Reimbursement)
  Posted: 7/2/2018 , Audience: P, F, A
- •
  New EFT requirement (Administrative)
  Posted: 6/29/2018 , Audience: P, F, A
- •
  Standards for medical record documentation: Medical record review (Quality Management)
  Posted: 6/26/2018 , Audience: P
- •
  Four drugs to be added to Most Cost-Effective Setting Program (Medical)
  Posted: 6/25/2018 , Audience: P, F, A
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 6/25/2018 , Audience: P, F, A
- •
  Reminder: Billing guidelines for BlueCard^® claims for lab, DME, and specialty pharmacy providers (BlueCard)
  Posted: 6/22/2018 , Audience: A
- •
  ICD-10 in Action: Coding guidelines and conventions – Excludes1 and Excludes2 notes (Billing & Reimbursement)
  Posted: 6/22/2018 , Audience: P, F, A
- •
  Update your provider record with the NaviNet^® Provider File Management transaction (NaviNet)
  Posted: 6/21/2018 , Audience: P
- •
  Pass-through billing not permitted by Independence (Billing & Reimbursement)
  Posted: 6/21/2018 , Audience: P
- •
  New medical record retrieval coordinator for ACA programs (BlueCard)
  Posted: 6/21/2018 , Audience: P, F, A
- •
  Registered Nurse Health Coaches: Supporting providers and patients (Health and Wellness)
  Posted: 6/19/2018 , Audience: P
- •
  Reminder: Important information regarding obtaining a PROMISe^TM ID to render services to CHIP members (Administrative)
  Posted: 6/19/2018 , Audience: P, F, A
- •
  Updated coverage positions on zoster and hepatitis B vaccines for commercial members (Medical)
  Posted: 6/18/2018 , Audience: P
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 6/18/2018 , Audience: P, F, A
- •
  Reminder: Updates to the list of specialty drugs that require precertification (Medical)
  Posted: 6/15/2018 , Audience: P, F, A
- •
  Updated policies on SCODI (Medical)
  Posted: 6/13/2018 , Audience: P
- •
  Coming soon: Changes to the Provider News Center (Administrative)
  Posted: 6/12/2018 , Audience: P, F, A
- •
  Reminder: Billing and cost-sharing for individuals enrolled in the Qualified Medicare Beneficiary program (Billing & Reimbursement)
  Posted: 6/12/2018 , Audience: P, F, A
- •
  Services eligible for reimbursement above the capitation rate (Billing & Reimbursement)
  Posted: 6/12/2018 , Audience: P
- •
  Enhanced claim edits to support correct coding principles (Billing & Reimbursement)
  Posted: 6/11/2018 , Audience: P, F, A
- •
  Updates to Direct Ship Drug Program request forms (Medical)
  Posted: 6/11/2018 , Audience: P, F
- •
  Updated information regarding our Cardiology Utilization Management Program (Medical)
  Posted: 6/11/2018 , Audience: P
- •
  New credentialing process and contact information (Quality Management)
  Posted: 6/8/2018 , Audience: P
- •
  Reminder: Changes to reimbursement of consultation codes for Medicare Advantage HMO and PPO members (Medical)
  Posted: 6/4/2018 , Audience: P
- •
  Site of service changes and new coverage option for Benlysta^® now in effect (Medical)
  Posted: 6/1/2018 , Audience: P, F, A
- •
  Important information for professional providers (Billing & Reimbursement)
  Posted: 6/1/2018 , Audience: P
- •
  Updated payer ID grids now available (Billing & Reimbursement)
  Posted: 6/1/2018 , Audience: P, F, A
- •
  Independence drug program formulary updates (Pharmacy)
  Posted: 5/31/2018 , Audience: P, F, A
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 5/31/2018 , Audience: P, F, A
- •
  Updates to the medical benefit specialty drug cost-sharing list (Medical)
  Posted: 5/31/2018 , Audience: P, F, A
- •
  Help your Medicare Advantage patients get healthy for summer (Health and Wellness)
  Posted: 5/29/2018 , Audience: P
- •
  Reminder: Claim investigation and corrected claim submission procedures (NaviNet)
  Posted: 5/25/2018 , Audience: P, F, A
- •
  Billing of date ranges for DME and specialty pharmacy (Billing & Reimbursement)
  Posted: 5/24/2018 , Audience: P, F, A
- •
  Independence encourages medical and behavioral health providers to work together (Quality Management)
  Posted: 5/23/2018 , Audience: P, F
- •
  Updates to the process for terminating an Independence member from your practice (Administrative)
  Posted: 5/23/2018 , Audience: P
- •
  Encourage pregnant Independence members to enroll in Baby BluePrints^® (Health and Wellness)
  Posted: 5/22/2018 , Audience: P
- •
  Change to BCBSA prefix assignments now in effect (Administrative)
  Posted: 5/18/2018 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 5/18/2018 , Audience: P, F, A
- •
  Reminder: Important information regarding obtaining a PROMISe^TM ID to render services to CHIP members (Administrative)
  Posted: 5/16/2018 , Audience: P, F, A
- •
  Update: Enhanced claim edits to support correct coding principles to begin in June 2018 (Billing & Reimbursement)
  Posted: 5/15/2018 , Audience: P, F, A
- •
  Updates to the list of specialty drugs that require precertification (Medical)
  Posted: 5/10/2018 , Audience: P, F, A
- •
  Changes to reimbursement of consultation codes for Medicare Advantage HMO and PPO members (Medical)
  Posted: 5/3/2018 , Audience: P
- •
  Updated payer ID grids now available (Billing & Reimbursement)
  Posted: 5/1/2018 , Audience: P, F, A
- •
  Reminder: Site of service changes and new coverage option for Benlysta^® (Medical)
  Posted: 5/1/2018 , Audience: P, F, A
- •
  Reminder: Enhanced claim edits to support correct coding principles to begin in June 2018 (Billing & Reimbursement)
  Posted: 4/24/2018 , Audience: P, F, A
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 4/23/2018 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 4/20/2018 , Audience: P, F, A
- •
  Independence Health Group and Comcast form partnership aimed at creating new, patient care technology and communications platform (Administrative)
  Posted: 4/19/2018 , Audience: P, F, A
- •
  Introducing the Flexible Network (Products)
  Posted: 4/18/2018 , Audience: P, F, A
- •
  Updated information regarding obtaining a PROMISe^TM ID to render services to CHIP members (Administrative)
  Posted: 4/17/2018 , Audience: P, F, A
- •
  FEP SNF/sub-acute benefit clarification (Health and Wellness)
  Posted: 4/16/2018 , Audience: P, F
- •
  Code update for home prothrombin time monitoring (Medical)
  Posted: 4/13/2018 , Audience: P
- •
  Health Coaching: Programs to enhance the coordination of care for Independence members with health concerns (Health and Wellness)
  Posted: 4/13/2018 , Audience: P
- •
  Updated payer ID grids now available (Billing & Reimbursement)
  Posted: 4/10/2018 , Audience: P, F, A
- •
  Code update for TENS and associated supplies (Medical)
  Posted: 4/6/2018 , Audience: P
- •
  Use the Medical Policy/Precertification Router for out-of-area members (BlueCard)
  Posted: 4/3/2018 , Audience: P, F, A
- •
  Updated code-to-code list now available (Billing & Reimbursement)
  Posted: 4/2/2018 , Audience: P, F, A
- •
  New diabetes prevention program for Medicare Advantage members (Health and Wellness)
  Posted: 4/2/2018 , Audience: P, F, A
- •
  Referral procedures for hospital admissions (Administrative)
  Posted: 3/28/2018 , Audience: P, F, A
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 3/27/2018 , Audience: P, F, A
- •
  Registered Nurse Health Coaches: Supporting providers and patients (Health and Wellness)
  Posted: 3/19/2018 , Audience: P
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 3/14/2018 , Audience: P, F, A
- •
  Reminder: CHIP providers must obtain a PROMISe^TM ID to render services to CHIP members (Administrative)
  Posted: 3/14/2018 , Audience: P, F, A
- •
  Enhanced claim edits to support correct coding principles to begin in June 2018 (Billing & Reimbursement)
  Posted: 3/9/2018 , Audience: P, F, A
- •
  Independence offers unique pharmacy program for Medicare Advantage members (Pharmacy)
  Posted: 3/8/2018 , Audience: P
- •
  NaviNet^® Provider File Management transaction now available (NaviNet Open)
  Posted: 3/7/2018 , Audience: P
- •
  Updated payer ID grids now available (Billing & Reimbursement)
  Posted: 3/6/2018 , Audience: P, F, A
- •
  Reminder: Home-based sleep testing now requires precertification (Medical)
  Posted: 3/2/2018 , Audience: P
- •
  Reminder: Updates to the list of specialty drugs that require precertification (Medical)
  Posted: 3/2/2018 , Audience: P, F, A
- •
  Reminder: Delegation of precertification for interventional pain management services to AIM now in effect (Medical)
  Posted: 3/1/2018 , Audience: P
- •
  Professional Injectable and Vaccine Fee Schedule updates effective April 1, 2018 (Billing & Reimbursement)
  Posted: 3/1/2018 , Audience: P, F, A
- •
  Independence drug program formulary updates (Pharmacy)
  Posted: 3/1/2018 , Audience: P, F, A
- •
  Site of service changes and new coverage option for Benlysta^® (Medical)
  Posted: 3/1/2018 , Audience: P, F, A
- •
  NaviNet^® Eligibility and Benefits Inquiry enhancement (NaviNet)
  Posted: 2/28/2018 , Audience: P, F, A
- •
  CMS to issue new Medicare cards (Administrative)
  Posted: 2/28/2018 , Audience: P, F, A
- •
  Ensure proper routing of CFID audit questions (Administrative)
  Posted: 2/26/2018 , Audience: P, F, A
- •
  Updated policy on DME and consumable medical supplies (Medical)
  Posted: 2/23/2018 , Audience: P
- •
  Reminder: CHIP providers must obtain a PROMISe^TM ID to render services to CHIP members (Administrative)
  Posted: 2/23/2018 , Audience: P, F, A
- •
  Removal of cost-sharing for naloxone and Narcan^® (Pharmacy)
  Posted: 2/20/2018 , Audience: P, F, A
- •
  Encourage your Medicare Advantage patients to listen to their own hearts this month (Health and Wellness)
  Posted: 2/16/2018 , Audience: P
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 2/15/2018 , Audience: P, F, A
- •
  Update: Upcoming change to BCBSA prefix assignments (Administrative)
  Posted: 2/14/2018 , Audience: P, F, A
- •
  Changes for pathologists reporting services in the office setting (Medical)
  Posted: 2/13/2018 , Audience: P, F, A
- •
  Reminder: Delegation of precertification for interventional pain management services to AIM (Medical)
  Posted: 2/12/2018 , Audience: P
- •
  ICD-10 in Action: Common reporting errors (Billing & Reimbursement)
  Posted: 2/12/2018 , Audience: P, F, A
- •
  Encourage pregnant Independence members to enroll in Baby BluePrints^® (Health and Wellness)
  Posted: 2/7/2018 , Audience: P
- •
  Updates to the medical benefit specialty drug cost-sharing list for 2018 (Medical)
  Posted: 2/6/2018 , Audience: P, F, A
- •
  Request office administration and patient education resources online (Administrative)
  Posted: 2/5/2018 , Audience: P, F, A
- •
  Updates to the list of specialty drugs that require precertification (Medical)
  Posted: 1/30/2018 , Audience: P, F, A
- •
  Updated NaviNet^® Authorizations transaction resources now available (NaviNet)
  Posted: 1/25/2018 , Audience: P, F, A
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 1/22/2018 , Audience: P, F, A
- •
  Proper procedures for appealing adverse coverage decisions (Administrative)
  Posted: 1/18/2018 , Audience: P, F
- •
  Reminder: CHIP providers must obtain a PROMISe^TM ID to render services to CHIP members (Administrative)
  Posted: 1/17/2018 , Audience: P, F, A
- •
  Changes to our policy on facility appeals for lack of medical necessity (Administrative)
  Posted: 1/17/2018 , Audience: F
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 1/16/2018 , Audience: P, F, A
- •
  Changes made to the DME and P&O fee schedule (Billing & Reimbursement)
  Posted: 1/12/2018 , Audience: A
- •
  Reminder: Guidelines for billing with taxonomy codes (Billing & Reimbursement)
  Posted: 1/11/2018 , Audience: P, F, A
- •
  Identifying members of international Licensees and submitting their claims (BlueCard)
  Posted: 1/11/2018 , Audience: P, F, A
- •
  Updated payer ID grids now available (Billing & Reimbursement)
  Posted: 1/11/2018 , Audience: P, F, A
- •
  Health Coaching: Programs to enhance the coordination of care for Independence members with health concerns (Health and Wellness)
  Posted: 1/10/2018 , Audience: P
- •
  Roles and responsibilities related to the BlueCard^® Program (BlueCard)
  Posted: 1/8/2018 , Audience: P, F, A
- •
  ICD-10 in Action: Coding for seasonal activities (Billing & Reimbursement)
  Posted: 1/5/2018 , Audience: P, F, A
- •
  Providers financially responsible for preapproval of inpatient facility services for out-of-area members (BlueCard)
  Posted: 1/5/2018 , Audience: P, F, A
- •
  Coverage position changes for endovenous mechanochemical ablation (Medical)
  Posted: 1/4/2018 , Audience: P
- •
  Reminder of changes to our Medicare Advantage plans for 2018 (Products)
  Posted: 1/4/2018 , Audience: P, F, A
- •
  Update to the nebulizers policy to include inhalation solutions (Medical)
  Posted: 1/4/2018 , Audience: P
- •
  Announcing soft launch period for new Musculoskeletal Utilization Management Program (Medical)
  Posted: 1/3/2018 , Audience: P
- •
  Check member ID card and verify eligibility every time (Administrative)
  Posted: 1/3/2018 , Audience: P, F, A
- •
  Coverage changes for office-based pathology services (Medical)
  Posted: 1/3/2018 , Audience: P, F, A
- •
  Reminder: Referrals have been removed for Medicare Advantage HMO members (Administrative)
  Posted: 1/2/2018 , Audience: P, F, A
- •
  Updated policies for Mohs' micrographic surgery (Medical)
  Posted: 1/2/2018 , Audience: P
Blue
2017 Updates
- •
  Our prescription drug program and safe prescribing procedures (Pharmacy)
  Posted: 12/28/2017 , Audience: P, F, A
- •
  Upcoming changes to billing requirements for neuropsychological testing for neurologically based conditions (Medical)
  Posted: 12/27/2017 , Audience: P
- •
  BlueCard^® Program resources available (BlueCard)
  Posted: 12/22/2017 , Audience: P, F, A
- •
  Precertification requirement for fractional flow reserve added to AIM Radiology Guidelines (Medical)
  Posted: 12/22/2017 , Audience: P
- •
  Updates to the list of specialty drugs that will require precertification (Medical)
  Posted: 12/21/2017 , Audience: P, F, A
- •
  Learn more about Keystone 65 Basic HMO – New for 2018! (Products)
  Posted: 12/21/2017 , Audience: P, F, A
- •
  2018 out-of-pocket maximums for commercial HMO, POS, and PPO members (Administrative)
  Posted: 12/21/2017 , Audience: P, F, A
- •
  Collaboration with behavioral health providers can improve patient outcomes (Quality Management)
  Posted: 12/21/2017 , Audience: P
- •
  Change in after-hours coverage for urgent discharge planning (Administrative)
  Posted: 12/20/2017 , Audience: P, F, A
- •
  Registered Nurse Health Coaches: Supporting providers and patients (Health and Wellness)
  Posted: 12/20/2017 , Audience: P
- •
  The Vital Care Program continues in 2018 (Products)
  Posted: 12/20/2017 , Audience: P
- •
  New FEP SNF/sub-acute benefit effective January 1, 2018 (Health and Wellness)
  Posted: 12/20/2017 , Audience: P, F
- •
  Quality ranking for primary care offices (Quality Management)
  Posted: 12/19/2017 , Audience: P
- •
  Reminder: Important information about the Medicare Outpatient Observation Notice (Administrative)
  Posted: 12/19/2017 , Audience: F
- •
  Reminder: Updates to Most Cost-Effective Setting Program for injectable and infusion therapy drugs (Medical)
  Posted: 12/18/2017 , Audience: P, F, A
- •
  Reminder: CHIP providers must obtain a PROMISe^™ ID to render services to CHIP members (Administrative)
  Posted: 12/15/2017 , Audience: P, F, A
- •
  Three drugs to be added to the Dosage and Frequency Program (Medical)
  Posted: 12/15/2017 , Audience: P, F
- •
  Update regarding InterQual^® guidelines for 2017 (Medical)
  Posted: 12/15/2017 , Audience: P, F, A
- •
  Reminder of utilization management programs effective January 2018 and delegation of precertification review to AIM (Medical)
  Posted: 12/15/2017 , Audience: P
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 12/14/2017 , Audience: P, F, A
- •
  Standards for medical record documentation: Medical record review (Quality Management)
  Posted: 12/14/2017 , Audience: P, F, A
- •
  Independence offers services to help patients communicate (Quality Management)
  Posted: 12/11/2017 , Audience: P, F, A
- •
  Updated Institutional Claims Resolution Matrix now available (Billing & Reimbursement)
  Posted: 12/11/2017 , Audience: F
- •
  Upcoming HEDIS^® medical record review (Administrative)
  Posted: 12/8/2017 , Audience: P
- •
  Preferred specialty pharmacy providers (Pharmacy)
  Posted: 12/7/2017 , Audience: P, F, A
- •
  ICD-10 in Action: Interpreting 'with' or 'in' (Billing & Reimbursement)
  Posted: 12/7/2017 , Audience: P, F, A
- •
  2017-2018 Clinical Practice Guideline Summary now available (Administrative)
  Posted: 12/6/2017 , Audience: P
- •
  Precertification of spinal bone growth stimulators (Medical)
  Posted: 12/4/2017 , Audience: P
- •
  Closing of pathology network for new office-based pathology providers (Medical)
  Posted: 12/1/2017 , Audience: P, F, A
- •
  New Care Gap Report available on Document Exchange (Quality Management)
  Posted: 12/1/2017 , Audience: P
- •
  Updated Member Wellness Guidelines now available (Quality Management)
  Posted: 12/1/2017 , Audience: P
- •
  Home-based sleep testing to require precertification (Medical)
  Posted: 12/1/2017 , Audience: P
- •
  Announcing the expansion of Independence’s Musculoskeletal Utilization Management Program to include services for interventional pain management (Medical)
  Posted: 12/1/2017 , Audience: P
- •
  Independence drug program formulary updates (Pharmacy)
  Posted: 11/30/2017 , Audience: P, F, A
- •
  Professional Injectable and Vaccine Fee Schedule updates effective January 1, 2018 (Billing & Reimbursement)
  Posted: 11/30/2017 , Audience: P, F, A
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 11/29/2017 , Audience: P, F, A
- •
  Reminder: New Cardiology Utilization Management Program through AIM (Medical)
  Posted: 11/28/2017 , Audience: P
- •
  Reminder: New utilization management program for musculoskeletal services (Medical)
  Posted: 11/28/2017 , Audience: P
- •
  Statin therapy for diabetic patients (Pharmacy)
  Posted: 11/21/2017 , Audience: P
- •
  Reminder: Precertification for certain services has been delegated to Tandigm Health (Administrative)
  Posted: 11/21/2017 , Audience: P, F, A
- •
  Upcoming change to BCBSA prefix assignments (Administrative)
  Posted: 11/20/2017 , Audience: P, F, A
- •
  Update regarding InterQual^® guidelines for 2017 (Medical)
  Posted: 11/20/2017 , Audience: P, F, A
- •
  Reminder: Updates to Most Cost-Effective Setting Program for injectable and infusion therapy drugs (Medical)
  Posted: 11/17/2017 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 11/17/2017 , Audience: P, F, A
- •
  Recommend SilverSneakers^® to help patients prevent or control type 2 diabetes (Health and Wellness)
  Posted: 11/16/2017 , Audience: P
- •
  Three drugs to be added to the Dosage and Frequency Program (Medical)
  Posted: 11/15/2017 , Audience: P, F
- •
  Reminder: New requirements for CHIP providers (Administrative)
  Posted: 11/15/2017 , Audience: P, F, A
- •
  New policies for laboratory-based vestibular function testing (Medical)
  Posted: 11/15/2017 , Audience: P
- •
  Updates to our policies on presumptive and definitive drug testing in substance abuse and pain management treatments (Medical)
  Posted: 11/15/2017 , Audience: P
- •
  Reminder: Claim investigation and corrected claim submission procedures (Billing & Reimbursement)
  Posted: 11/15/2017 , Audience: P, F, A
- •
  Updates to the list of specialty drugs that will require precertification (Medical)
  Posted: 11/14/2017 , Audience: P, F, A
- •
  Changes to recent Notifications regarding precertification requirements for CINV/antiemetic agents (Medical)
  Posted: 11/14/2017 , Audience: P, F
- •
  Ensure proper routing of CFID audit questions (Administrative)
  Posted: 11/14/2017 , Audience: P, F, A
- •
  Upcoming enhancement to the NaviNet^® Authorizations transaction (NaviNet)
  Posted: 11/14/2017 , Audience: P, F, A
- •
  Independence CMO pledges to improve the appropriate use of antibiotics (Pharmacy)
  Posted: 11/13/2017 , Audience: P, F, A
- •
  Inaccurate information communicated to members covered under the School District of Philadelphia regarding diabetic drugs (Pharmacy)
  Posted: 11/8/2017 , Audience: P
- •
  Coordination of care improves member outcomes (Quality Management)
  Posted: 11/7/2017 , Audience: P
- •
  Providers must obtain precertification for certain items and/or services when required (Administrative)
  Posted: 11/7/2017 , Audience: P, F, A
- •
  Member benefit changes and clarifications for commercial members (Products)
  Posted: 11/6/2017 , Audience: P, F, A
- •
  Encourage pregnant Independence members to enroll in Baby BluePrints^® (Health and Wellness)
  Posted: 11/6/2017 , Audience: P
- •
  A new incentive opportunity for professional providers (Quality Management)
  Posted: 11/3/2017 , Audience: P
- •
  Improving lead testing among CHIP members (Quality Management)
  Posted: 11/3/2017 , Audience: P
- •
  Updated policies on the treatment of glaucoma (Medical)
  Posted: 11/1/2017 , Audience: P
- •
  ICD-10 in Action: “Code Also” instructional note (Billing & Reimbursement)
  Posted: 10/30/2017 , Audience: P, F, A
- •
  Now in effect: Preferred product for enzyme replacement to treat Gaucher's disease (Medical)
  Posted: 10/26/2017 , Audience: P
- •
  Policy reminder regarding utilization review decisions (Quality Management)
  Posted: 10/25/2017 , Audience: P, F
- •
  Reminder: Precertification for certain services has been delegated to Tandigm Health (Administrative)
  Posted: 10/25/2017 , Audience: P, F, A
- •
  Reminder: Utilization management program for genetic/genomic tests, certain molecular analyses, and cytogenetic tests (Medical)
  Posted: 10/25/2017 , Audience: P, F
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 10/24/2017 , Audience: P, F, A
- •
  Important news about the annual Synagis^® (palivizumab) distribution program (Medical)
  Posted: 10/23/2017 , Audience: P, F, A
- •
  New medical and pharmacy product portfolios available for 2018 (Products)
  Posted: 10/20/2017 , Audience: P, F, A
- •
  Look for our redesigned member portal (Administrative)
  Posted: 10/20/2017 , Audience: P, F, A
- •
  Interventions for PCPs and behavioral health providers to promote sleep (Health and Wellness)
  Posted: 10/20/2017 , Audience: P
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 10/18/2017 , Audience: P, F, A
- •
  Reminder: New requirements for CHIP providers (Administrative)
  Posted: 10/17/2017 , Audience: P, F, A
- •
  Updates to Most Cost-Effective Setting Program for injectable and infusion therapy drugs (Medical)
  Posted: 10/16/2017 , Audience: P, F, A
- •
  Updated payer ID grids now available (Billing & Reimbursement)
  Posted: 10/13/2017 , Audience: P, F, A
- •
  Important information regarding retinal screening codes (Quality Management)
  Posted: 10/11/2017 , Audience: P
- •
  NaviNet^® Eligibility and Benefits Inquiry enhancement\t (NaviNet)
  Posted: 10/11/2017 , Audience: P, F, A
- •
  Prepare now for the new NaviNet^® Authorizations transaction (NaviNet)
  Posted: 10/10/2017 , Audience: P, F, A
- •
  Benefit tier re-evaluation for Keystone HMO Proactive (Products)
  Posted: 10/10/2017 , Audience: P, F, A
- •
  Independence Blue Cross and Tower Health reach agreement on new three-year contract (Administrative)
  Posted: 10/6/2017 , Audience: P, F, A
- •
  Changes to management of subcutaneous immunoglobulin now in effect (Medical)
  Posted: 10/5/2017 , Audience: P, F, A
- •
  Our Quality Management Program promotes quality of care and service (Quality Management)
  Posted: 10/5/2017 , Audience: P, F, A
- •
  Medicare Advantage plans: What’s new for 2018 (Products)
  Posted: 10/3/2017 , Audience: P, F, A
- •
  Announcing Cardiology Utilization Management Program through AIM (Medical)
  Posted: 10/3/2017 , Audience: P
- •
  Announcing new utilization management program for musculoskeletal services (Medical)
  Posted: 10/3/2017 , Audience: P
- •
  Upcoming changes to specialty drugs requiring precertification (Medical)
  Posted: 10/2/2017 , Audience: P, F, A
- •
  Select chemotherapy-induced nausea and vomiting drugs to require precertification (Medical)
  Posted: 10/2/2017 , Audience: P, F
- •
  Important: Information regarding the acquisition of five Community Health Systems, Inc. hospitals (Administrative)
  Posted: 10/1/2017 , Audience: P, F, A
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 9/29/2017 , Audience: P, F, A
- •
  Updated NaviNet^® ePayment transaction (NaviNet)
  Posted: 9/28/2017 , Audience: P
- •
  New precertification requirement for CAR T-cell therapy (Medical)
  Posted: 9/22/2017 , Audience: P, F
- •
  Health Coaches: Supporting your patients, our members (Health and Wellness)
  Posted: 9/22/2017 , Audience: P
- •
  Updated policies on cast and splint applications and supplies (Medical)
  Posted: 9/21/2017 , Audience: P
- •
  Reminder: Utilization management program for genetic/genomic tests, certain molecular analyses, and cytogenetic tests (Medical)
  Posted: 9/21/2017 , Audience: P, F
- •
  Requirements for submitting expedited appeals on behalf of Medicare Advantage members (Administrative)
  Posted: 9/20/2017 , Audience: P, F
- •
  $0 copays on preferred brand diabetic test strips and glucose meters for Medicare Advantage members (Medical)
  Posted: 9/19/2017 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 9/18/2017 , Audience: P, F, A
- •
  Billing and cost-sharing for individuals enrolled in the Qualified Medicare Beneficiary Program (Billing & Reimbursement)
  Posted: 9/15/2017 , Audience: P, F, A
- •
  Important information regarding our transition to a new medical management system (Administrative)
  Posted: 9/12/2017 , Audience: P, F, A
- •
  Did you know?... Medication adherence improves when prescribers write for 90-day supplies (Quality Management)
  Posted: 9/8/2017 , Audience: P
- •
  Upcoming Risk Adjustment Data Validation audit assessment (Administrative)
  Posted: 9/8/2017 , Audience: P
- •
  Updates to our Most Cost-Effective Setting Program now in effect (Medical)
  Posted: 9/7/2017 , Audience: P, F, A
- •
  Professional Injectable and Vaccine Fee Schedule updates effective October 1, 2017 (Billing & Reimbursement)
  Posted: 9/6/2017 , Audience: P, F, A
- •
  Reminder: Medically Unlikely Edits applied to professional and facility claims (Billing & Reimbursement)
  Posted: 9/6/2017 , Audience: P, F
- •
  Important: Review the address before submitting paper claims (Administrative)
  Posted: 9/5/2017 , Audience: P, F, A
- •
  New requirements for CHIP providers (Administrative)
  Posted: 9/5/2017 , Audience: P, F, A
- •
  Annual Synagis^® (palivizumab) distribution program approaching (Medical)
  Posted: 9/5/2017 , Audience: P, F, A
- •
  Independence drug program formulary updates (Pharmacy)
  Posted: 9/1/2017 , Audience: P, F, A
- •
  Change to requirements for billing with POA indicator (Billing & Reimbursement)
  Posted: 9/1/2017 , Audience: F
- •
  Clarification to the CRNP policies for services performed in a specialist’s group (Administrative)
  Posted: 8/31/2017 , Audience: P
- •
  ICD-10 in Action: Code First coding convention (Billing & Reimbursement)
  Posted: 8/31/2017 , Audience: P, F, A
- •
  Test Your Knowledge – True or False: Conventions, general, and chapter-specific guidelines – August 2017 (Billing & Reimbursement)
  Posted: 8/31/2017 , Audience: P, F, A
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 8/24/2017 , Audience: P, F, A
- •
  Use of epinephrine in the treatment of anaphylaxis (Pharmacy)
  Posted: 8/23/2017 , Audience: P
- •
  Talking to your patients about exercise: The 5 As (Health and Wellness)
  Posted: 8/23/2017 , Audience: P
- •
  Reminder: Utilization management program for genetic/genomic tests, certain molecular analyses, and cytogenetic tests (Medical)
  Posted: 8/22/2017 , Audience: P, F
- •
  Reminder: Billing guidelines for BlueCard^® claims for DME providers (BlueCard)
  Posted: 8/18/2017 , Audience: F
- •
  Reminder: Seven drugs to be added to Most Cost-Effective Setting Program (Medical)
  Posted: 8/17/2017 , Audience: P, F, A
- •
  Updates to NaviNet^® Claim Investigation: Best practices for Facility Pricing Inquiry (NaviNet)
  Posted: 8/16/2017 , Audience: F, A
- •
  Get up-to-date health notifications for your patients (Medical)
  Posted: 8/16/2017 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 8/11/2017 , Audience: P, F, A
- •
  Ensure proper routing of CFID audit questions (Administrative)
  Posted: 8/10/2017 , Audience: P, F, A
- •
  Encourage pregnant Independence members to enroll in Baby BluePrints^® (Health and Wellness)
  Posted: 8/9/2017 , Audience: P
- •
  Independence initiatives to combat opioid misuse and abuse (Medical)
  Posted: 8/7/2017 , Audience: P, F, A
- •
  New resources available for our transition to a new medical management system (Administrative)
  Posted: 8/3/2017 , Audience: P, F, A
- •
  Upcoming changes to billing requirements for septoplasty (Medical)
  Posted: 8/3/2017 , Audience: P
- •
  Billing reminder for acute care hospitals and SNFs (Billing & Reimbursement)
  Posted: 7/31/2017 , Audience: F
- •
  Verifying cost-sharing for Vital Care Program members (Products)
  Posted: 7/31/2017 , Audience: P
- •
  Update: Our policy on credentialing providers still in training (Administrative)
  Posted: 7/28/2017 , Audience: P, F
- •
  Independence signs five-year agreement with Jefferson Health (Administrative)
  Posted: 7/28/2017 , Audience: P, F, A
- •
  Preferred product designated for enzyme replacement to treat Gaucher's disease (Medical)
  Posted: 7/26/2017 , Audience: P
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 7/25/2017 , Audience: P, F, A
- •
  Updates to the policies on Modifier 25 reporting and reimbursement (Medical)
  Posted: 7/24/2017 , Audience: P
- •
  Precertification for certain services to be delegated to Tandigm Health (Administrative)
  Posted: 7/21/2017 , Audience: P, F, A
- •
  Reminder: Utilization management program for genetic/genomic tests, certain molecular analyses, and cytogenetic tests (Medical)
  Posted: 7/20/2017 , Audience: P, F
- •
  ICD-10 in Action: Coding sequence and coding specificity/unspecified codes (Billing & Reimbursement)
  Posted: 7/18/2017 , Audience: P, F, A
- •
  Test your knowledge: Coding specificity – July 2017 (Billing & Reimbursement)
  Posted: 7/18/2017 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 7/17/2017 , Audience: P, F, A
- •
  Reminder: Our policy on opioid management (Pharmacy)
  Posted: 7/11/2017 , Audience: P
- •
  Updates to presumptive and definitive drug testing in substance abuse and pain management treatments (Medical)
  Posted: 7/7/2017 , Audience: P
- •
  Reminder: Seven drugs to be added to Most Cost-Effective Setting Program (Medical)
  Posted: 7/6/2017 , Audience: P, F, A
- •
  Updated billing requirements for preventive colonoscopy and flexible sigmoidoscopy (Medical)
  Posted: 7/5/2017 , Audience: P
- •
  Important information for providers who subcontract services (Administrative)
  Posted: 7/5/2017 , Audience: F
- •
  CRNP policies expanded to include services performed in a specialist’s group (Administrative)
  Posted: 6/30/2017 , Audience: P
- •
  Updated policies on toe nail debridement (Medical)
  Posted: 6/29/2017 , Audience: P
- •
  Changes to management of subcutaneous immunoglobulin (Pharmacy)
  Posted: 6/28/2017 , Audience: P, F, A
- •
  Medical codes for services that require precertification (Medical)
  Posted: 6/28/2017 , Audience: P, F, A
- •
  Reminder: Important information for professional providers (Billing & Reimbursement)
  Posted: 6/28/2017 , Audience: P
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 6/23/2017 , Audience: P, F, A
- •
  Updated InterQual^® guidelines for 2017 (Medical)
  Posted: 6/21/2017 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 6/19/2017 , Audience: P, F, A
- •
  Introducing Independence health rewards for eligible Medicare Advantage members (Health and Wellness)
  Posted: 6/16/2017 , Audience: P
- •
  Precertification requirements for Spinraza™ (nusinersen) and Bavencio^® (avelumab) (Medical)
  Posted: 6/15/2017 , Audience: P, F
- •
  Updated Lab Management Clinical Guidelines (Medical)
  Posted: 6/13/2017 , Audience: P, F
- •
  Our policy on opioid management (Pharmacy)
  Posted: 6/9/2017 , Audience: P, F
- •
  Reminder: Our policy on appeals for lack of medical necessity (Administrative)
  Posted: 6/9/2017 , Audience: F
- •
  Health Coaches: Supporting your patients, our members (Health and Wellness)
  Posted: 6/9/2017 , Audience: P
- •
  Policy and guideline resources available online (Administrative)
  Posted: 6/8/2017 , Audience: P, F, A
- •
  Combined policies for abdominoplasty, panniculectomy, abdominal lipectomy, and other excisions of redundant skin (Medical)
  Posted: 6/7/2017 , Audience: P, F
- •
  Updated CMS-1500 toolkit and UB-04 guide now available (Billing & Reimbursement)
  Posted: 6/5/2017 , Audience: P, F, A
- •
  Update: New NaviNet^® Authorizations transaction (NaviNet)
  Posted: 6/2/2017 , Audience: P, F, A
- •
  Update to our Radiation Treatment of Breast Carcinoma guideline (Medical)
  Posted: 6/1/2017 , Audience: P
- •
  Independence drug program formulary updates (Pharmacy)
  Posted: 5/31/2017 , Audience: P, F, A
- •
  Professional Injectable and Vaccine Fee Schedule updates effective July 1, 2017 (Billing & Reimbursement)
  Posted: 5/31/2017 , Audience: P, F, A
- •
  New policies for autonomic nervous system testing (Medical)
  Posted: 5/26/2017 , Audience: P
- •
  Medications to be excluded from the Select Drug Program^® Formulary (Pharmacy)
  Posted: 5/25/2017 , Audience: P
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 5/23/2017 , Audience: P, F, A
- •
  Feedback on Independence provider resources (Administrative)
  Posted: 5/22/2017 , Audience: P, F, A
- •
  Reviewing your provider demographic information in the Independence provider directory (Administrative)
  Posted: 5/19/2017 , Audience: P
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 5/19/2017 , Audience: P, F, A
- •
  Encourage your patients to get ready for the great outdoors with help from SilverSneakers^® (Health and Wellness)
  Posted: 5/17/2017 , Audience: P
- •
  Seven drugs to be added to Most Cost-Effective Setting Program (Medical)
  Posted: 5/16/2017 , Audience: P, F, A
- •
  Billing for habilitative and rehabilitative services (Billing & Reimbursement)
  Posted: 5/15/2017 , Audience: P, F, A
- •
  Update: Transition to a new medical management system (Administrative)
  Posted: 5/12/2017 , Audience: P, F, A
- •
  Encourage pregnant Independence members to enroll in Baby BluePrints^® (Health and Wellness)
  Posted: 5/10/2017 , Audience: P
- •
  New NaviNet^® Authorizations transaction (NaviNet)
  Posted: 5/10/2017 , Audience: P, F, A
- •
  Clear Claim Connection^™ transaction to be removed from NaviNet^® (Medical)
  Posted: 5/9/2017 , Audience: P, F, A
- •
  Reminder: Our policies on inpatient hospital readmissions (Medical)
  Posted: 5/4/2017 , Audience: F
- •
  Independence encourages medical and behavioral health providers to work together (Health and Wellness)
  Posted: 5/4/2017 , Audience: P, F
- •
  Important information for professional providers (Billing & Reimbursement)
  Posted: 5/2/2017 , Audience: P
- •
  Updated policies on Modifier 25 reporting and reimbursement (Medical)
  Posted: 5/1/2017 , Audience: P, F, A
- •
  Reminder: Utilization management program for genetic/genomic tests, certain molecular analyses, and cytogenetic tests (Medical)
  Posted: 5/1/2017 , Audience: P, F
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 4/26/2017 , Audience: P, F, A
- •
  Independence signs 5-year agreement with University of Pennsylvania Health System (Administrative)
  Posted: 4/21/2017 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 4/20/2017 , Audience: P, F, A
- •
  NaviNet^® Claim Investigation: Best practices for Facility Pricing Inquiry (NaviNet)
  Posted: 4/18/2017 , Audience: F
- •
  Medical policy for Frenectomy or Frenotomy for Ankyloglossia (Tongue-Tie) (Medical)
  Posted: 4/14/2017 , Audience: P, F
- •
  Four drugs added to the Dosage and Frequency Program (Medical)
  Posted: 4/13/2017 , Audience: P, F
- •
  Updated claims resolution matrices now available (Billing & Reimbursement)
  Posted: 4/12/2017 , Audience: P, F, A
- •
  NaviNet^® Claim Investigation: Best practices when submitting a claim review request (NaviNet)
  Posted: 4/10/2017 , Audience: P, F, A
- •
  The importance of developmental monitoring and screening in children (Administrative)
  Posted: 4/7/2017 , Audience: P
- •
  Our policy on credentialing providers in training (Administrative)
  Posted: 4/6/2017 , Audience: P, F
- •
  Retraction: Proper billing guidelines for institutional ambulance claims (Billing & Reimbursement)
  Posted: 4/5/2017 , Audience: F
- •
  Improving lead testing among CHIP members (Quality Management)
  Posted: 4/5/2017 , Audience: P, F
- •
  New policies for Therapeutic Drug Monitoring for Antidepressants, Antipsychotics, or Antiepileptics (Medical)
  Posted: 3/28/2017 , Audience: P, F, A
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 3/28/2017 , Audience: P, F, A
- •
  Transition to a new medical management system (Administrative)
  Posted: 3/23/2017 , Audience: P, F, A
- •
  Proper billing guidelines for institutional ambulance claims (Administrative)
  Posted: 3/22/2017 , Audience: F
- •
  Billing for professional services during an inpatient stay (Billing & Reimbursement)
  Posted: 3/21/2017 , Audience: P, A
- •
  Reminder: Address change for paper claims submissions (Administrative)
  Posted: 3/14/2017 , Audience: P, F, A
- •
  Ensure proper routing of CFID audit questions (Administrative)
  Posted: 3/14/2017 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 3/13/2017 , Audience: P, F, A
- •
  The annual CAHPS survey and our network providers (Quality Management)
  Posted: 3/10/2017 , Audience: P
- •
  Upcoming webinar on improving LGBT patient-provider relationships (Administrative)
  Posted: 3/10/2017 , Audience: P, F, A
- •
  Ensuring the accuracy of information published in the Independence provider directory (Administrative)
  Posted: 3/9/2017 , Audience: P, F, A
- •
  Corrected claim resubmission requirements (Billing & Reimbursement)
  Posted: 3/9/2017 , Audience: P, F
- •
  Health Coaches: Supporting your patients, our members (Health and Wellness)
  Posted: 3/7/2017 , Audience: P
- •
  Independence drug program formulary updates (Pharmacy)
  Posted: 3/2/2017 , Audience: P, F, A
- •
  Professional Injectable and Vaccine Fee Schedule updates effective April 1, 2017 (Billing & Reimbursement)
  Posted: 3/2/2017 , Audience: P, F, A
- •
  Encourage exercise to prevent falls (Health and Wellness)
  Posted: 2/24/2017 , Audience: P
- •
  Important information about the Medicare Outpatient Observation Notice (Administrative)
  Posted: 2/23/2017 , Audience: F
- •
  Providing notice to Medicare Advantage members for covered and non-covered services (Administrative)
  Posted: 2/23/2017 , Audience: P, F, A
- •
  New online tools to help members achieve well-being (Health and Wellness)
  Posted: 2/22/2017 , Audience: P, F, A
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 2/20/2017 , Audience: P, F, A
- •
  New Find a Doctor tool is now available (Administrative)
  Posted: 2/17/2017 , Audience: P, F, A
- •
  NaviNet^® tips – Part 1: General Claim Inquiry (NaviNet)
  Posted: 2/15/2017 , Audience: P, F, A
- •
  Referral procedures for hospital admissions (Administrative)
  Posted: 2/13/2017 , Audience: P, F, A
- •
  Reminder of billing requirements for anesthesia services (Billing & Reimbursement)
  Posted: 2/8/2017 , Audience: P
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 2/6/2017 , Audience: P, F, A
- •
  Encourage pregnant Independence members to enroll in Baby BluePrints^® (Health and Wellness)
  Posted: 2/2/2017 , Audience: P
- •
  2016 SOAP Progress Note submission deadline for the ePASS^® incentive program (Medical)
  Posted: 2/1/2017 , Audience: P
- •
  Sign up to receive Independence news and announcements via email (Administrative)
  Posted: 1/30/2017 , Audience: P, F, A
- •
  Utilization management process changes for inpatient admissions (Quality Management)
  Posted: 1/24/2017 , Audience: F
- •
  Update: Our policy on direct and/or indirect third-party payments of member premiums and cost-sharing (Billing & Reimbursement)
  Posted: 1/23/2017 , Audience: P, F, A
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 1/19/2017 , Audience: P, F, A
- •
  Important: Extreme danger posed by carfentanil (Medical)
  Posted: 1/18/2017 , Audience: P, F, A
- •
  Important information regarding the 90-day grace period for APTC members (Billing & Reimbursement)
  Posted: 1/18/2017 , Audience: P, F, A
- •
  Prohibition on billing Medicare-Medicaid enrollees for Medicare cost-sharing (Billing & Reimbursement)
  Posted: 1/17/2017 , Audience: P, F, A
- •
  Neulasta^®: Updates to precertification and setting requirements and coverage options now in effect (Medical)
  Posted: 1/11/2017 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 1/10/2017 , Audience: P, F, A
- •
  NaviNet^® Claim Status Inquiry transaction and updated user guides available (NaviNet)
  Posted: 1/9/2017 , Audience: P, F, A
- •
  Billing guidelines for leuprolide acetate (Lupron Depot^® and Eligard^®) (Medical)
  Posted: 1/6/2017 , Audience: P, F
- •
  Updated high-risk medications guide available (Pharmacy)
  Posted: 1/6/2017 , Audience: P, F
- •
  Reminder: Changes to precertification requirements for 2017 (Medical)
  Posted: 1/6/2017 , Audience: P, F, A
- •
  Updated payer ID grids now available (Billing & Reimbursement)
  Posted: 1/6/2017 , Audience: P, F, A
- •
  Updated message for providers who prescribe drugs for Medicare patients (Pharmacy)
  Posted: 1/5/2017 , Audience: P
- •
  2016 Cumulative Index now available (Administrative)
  Posted: 1/5/2017 , Audience: P, F, A
- •
  Reminder: $0 copays on preferred brand diabetic test strips and glucose monitors for Medicare Advantage members (Medical)
  Posted: 1/4/2017 , Audience: P, F, A
- •
  Codeine use in children (Pharmacy)
  Posted: 1/4/2017 , Audience: P, F
Blue
2016 Updates
- •
  Introducing the Comprehensive Care Program (Quality Management)
  Posted: 12/9/2016 , Audience: P
- •
  Health Coaches: Supporting your patients, our members (Health and Wellness)
  Posted: 12/1/2016 , Audience: P
- •
  2016-2017 Clinical Practice Guideline Summary now available (Quality Management)
  Posted: 12/1/2016 , Audience: P
- •
  New Perinatal Guideline Summary now available (Quality Management)
  Posted: 12/1/2016 , Audience: P
- •
  Discussing end-of-life care with your patients (Health and Wellness)
  Posted: 12/1/2016 , Audience: P
- •
  Professional Injectable and Vaccine Fee Schedule updates effective January 1, 2017 (Billing & Reimbursement)
  Posted: 12/1/2016 , Audience: P, F, A
- •
  Exciting changes coming to Partners in Health Update^SM and the Provider News Center (Administrative)
  Posted: 12/1/2016 , Audience: P, F, A
- •
  Upcoming HEDIS^® medical record review (Administrative)
  Posted: 12/1/2016 , Audience: P
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 12/1/2016 , Audience: P, F, A
- •
  2017 out-of-pocket maximums for commercial HMO, POS, and PPO members (Administrative)
  Posted: 12/1/2016 , Audience: P, F, A
- •
  Member Wellness Guidelines available (Quality Management)
  Posted: 12/1/2016 , Audience: P
- •
  Procedures for referring members for covered and non-covered services (Administrative)
  Posted: 12/1/2016 , Audience: P, F, A
- •
  New NaviNet^® Claim Status Inquiry transaction delay (NaviNet)
  Posted: 12/1/2016 , Audience: P, F, A
- •
  Easy to use online peer-to-peer request form (Administrative)
  Posted: 12/1/2016 , Audience: P, F, A
- •
  Prescription drug updates (Pharmacy)
  Posted: 12/1/2016 , Audience: P, F, A
- •
  Reminder: Cost-sharing and billing requirements for Preventive colorectal cancer screening (Medical)
  Posted: 12/1/2016 , Audience: P, F
- •
  Reminder: $0 copays on preferred diabetic supplies for Medicare Advantage members (Medical)
  Posted: 12/1/2016 , Audience: P, F, A
- •
  Reminder: Neulasta^®: Updates to precertification requirements, sites of service, and coverage options (Medical)
  Posted: 12/1/2016 , Audience: P, F, A
- •
  Benefits provided by BriovaRx^® (Pharmacy)
  Posted: 12/1/2016 , Audience: P, F, A
- •
  Our prescription drug program and safe prescribingprocedures (Pharmacy)
  Posted: 12/1/2016 , Audience: P, F, A
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 12/1/2016 , Audience: P, F, A
- •
  Reminder: Upcoming changes to precertification requirements for 2017 (Medical)
  Posted: 12/1/2016 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 12/1/2016 , Audience: P, F, A
- •
  Reminder: Upcoming changes to medical benefit specialty drug cost-sharing for 2017 (Medical)
  Posted: 12/1/2016 , Audience: P, F, A
- •
  Behavioral health: Promoting provider communication and collaboration (Health and Wellness)
  Posted: 12/1/2016 , Audience: P
- •
  New value-based insurance design program (Products)
  Posted: 12/1/2016 , Audience: P, F, A
- •
  Update: SEPTA strike resolution (Administrative)
  Posted: 11/7/2016 , Audience: P, F, A
- •
  Important information about SEPTA (Administrative)
  Posted: 11/1/2016 , Audience: P, F, A
- •
  Standards for medical record documentation: Medical record review (Quality Management)
  Posted: 10/31/2016 , Audience: P, F, A
- •
  Member benefit changes and clarifications forcommercial members (Products)
  Posted: 10/31/2016 , Audience: P, F, A
- •
  Policy reminder regarding utilization review decisions (Quality Management)
  Posted: 10/31/2016 , Audience: P, F
- •
  Improving lead testing among CHIP members (Quality Management)
  Posted: 10/31/2016 , Audience: P, F
- •
  Keystone 65 Focus: Participating hospitals for 2017 (Products)
  Posted: 10/31/2016 , Audience: P, F, A
- •
  Reminder: Provider self-service requirements (NaviNet)
  Posted: 10/31/2016 , Audience: P, F, A
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 10/31/2016 , Audience: P, F, A
- •
  Encourage pregnant Independence members to enroll in Baby BluePrints^® (Health and Wellness)
  Posted: 10/31/2016 , Audience: P
- •
  Reminder: Referral procedures for capitated services (Administrative)
  Posted: 10/31/2016 , Audience: P, F
- •
  Our Quality Management Program promotes quality of care and service (Quality Management)
  Posted: 10/31/2016 , Audience: P, F, A
- •
  Encourage exercise to improve brain health (Health and Wellness)
  Posted: 10/31/2016 , Audience: P
- •
  Cost-sharing and billing requirements for Preventivecolorectal cancer screening (Medical)
  Posted: 10/31/2016 , Audience: P, F
- •
  Neulasta^®: Updates to precertification requirements, sites of service, and coverage options (Medical)
  Posted: 10/31/2016 , Audience: P, F, A
- •
  Coverage for transgender services (Medical)
  Posted: 10/31/2016 , Audience: P, F, A
- •
  Reminder: $0 copays on preferred diabetic supplies for Medicare Advantage members (Medical)
  Posted: 10/31/2016 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 10/31/2016 , Audience: P, F, A
- •
  NaviNet^® Referral Submission transaction updates (NaviNet)
  Posted: 10/3/2016 , Audience: P
- •
  Claims recovery period to align with CMS (Administrative)
  Posted: 10/3/2016 , Audience: P, F, A
- •
  Independence members rate their physician experience (Quality Management)
  Posted: 10/3/2016 , Audience: P
- •
  Claim submission changes for oral surgery (Billing & Reimbursement)
  Posted: 10/3/2016 , Audience: P
- •
  Reminder: Document Exchange now available on NaviNet^® (NaviNet)
  Posted: 10/3/2016 , Audience: P, F, A
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 10/3/2016 , Audience: P, F, A
- •
  New iEXCHANGE^® user guides available on the IndependenceAdministrators website (Administrative)
  Posted: 10/3/2016 , Audience: P, F, A
- •
  Medicare Advantage plans: What’s new for 2017 (Products)
  Posted: 10/3/2016 , Audience: P, F, A
- •
  Independence offers services to help patients communicate (Quality Management)
  Posted: 10/3/2016 , Audience: P, F, A
- •
  Discontinuation of the Physician Quality Measure and Blue Physician Recognition programs (Quality Management)
  Posted: 10/3/2016 , Audience: P
- •
  Benefit tier re-evaluation for Keystone HMO Proactive (Products)
  Posted: 10/3/2016 , Audience: P, F, A
- •
  Updated payer ID grids now available (Billing & Reimbursement)
  Posted: 10/3/2016 , Audience: P, F
- •
  Updates to Most Cost-Effective Setting Program for injectable and infusion therapy drugs (Medical)
  Posted: 10/3/2016 , Audience: P, F, A
- •
  Updated policy for anesthesia services (Medical)
  Posted: 10/3/2016 , Audience: P
- •
  Upcoming changes to drug precertification requirements for 2017 (Medical)
  Posted: 10/3/2016 , Audience: P, F, A
- •
  Coverage position changes for select medical services (Medical)
  Posted: 10/3/2016 , Audience: P, F, A
- •
  Stelara^®: Now eligible for coverage under the medical andpharmacy benefits (Pharmacy)
  Posted: 10/3/2016 , Audience: P
- •
  Important news about the annual Synagis^® (palivizumab) distribution program (Medical)
  Posted: 10/3/2016 , Audience: P
- •
  Upcoming changes to medical benefit specialty drug cost-sharing for 2017 (Medical)
  Posted: 10/3/2016 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 10/3/2016 , Audience: P, F, A
- •
  Behavioral health: Promoting provider communication and collaboration (Health and Wellness)
  Posted: 10/3/2016 , Audience: P
- •
  Upcoming precertification changes for outpatient, non-emergent radiation therapy services (Medical)
  Posted: 10/3/2016 , Audience: P, F
- •
  Upcoming changes to precertification requirements for Cologuard^™ and NIPT/NIPS (Medical)
  Posted: 10/3/2016 , Audience: P, F
- •
  New Pennsylvania Prescription Drug Monitoring Programsystem now available (Medical)
  Posted: 10/3/2016 , Audience: P, F, A
- •
  Software update for e-prescriptions (Pharmacy)
  Posted: 9/28/2016 , Audience: P
- •
  Updated Radiation Therapy Clinical Guidelines (Medical)
  Posted: 9/1/2016 , Audience: P, F
- •
  Health Coaches: Supporting your patients, our members (Health and Wellness)
  Posted: 8/31/2016 , Audience: P
- •
  Upcoming address change for paper claims submissions (Administrative)
  Posted: 8/31/2016 , Audience: P, F, A
- •
  Professional Injectable and Vaccine Fee Schedule updateseffective October 1, 2016 (Billing & Reimbursement)
  Posted: 8/31/2016 , Audience: P, F, A
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 8/31/2016 , Audience: P, F, A
- •
  Vaccine recommendation for human papillomavirus (Health and Wellness)
  Posted: 8/31/2016 , Audience: P
- •
  Quality ranking for primary care offices (Quality Management)
  Posted: 8/31/2016 , Audience: P
- •
  New transactions on NaviNet^® and user guides available (NaviNet)
  Posted: 8/31/2016 , Audience: P, F, A
- •
  Electronic claim resubmission requirements (Billing & Reimbursement)
  Posted: 8/31/2016 , Audience: P, F, A
- •
  Requirements for PCPs rendering services to members in long-term care facilities (Administrative)
  Posted: 8/31/2016 , Audience: P, F
- •
  Prescription drug updates (Pharmacy)
  Posted: 8/31/2016 , Audience: P, F, A
- •
  Why health plans partner with vendors for Personal Health Visits (Medical)
  Posted: 8/31/2016 , Audience: P
- •
  Changes to our ePASS^® incentive opportunity for professional providers (Medical)
  Posted: 8/31/2016 , Audience: P
- •
  Changes to the seasonal influenza vaccine recommendations for 2016-2017 (Medical)
  Posted: 8/31/2016 , Audience: P
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 8/31/2016 , Audience: P, F, A
- •
  Annual Synagis^® (palivizumab) distribution program approaching (Medical)
  Posted: 8/31/2016 , Audience: P, F, A
- •
  Injectable hyaluronate acid products removed from the Direct Ship Drug Program (Medical)
  Posted: 8/31/2016 , Audience: P
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 8/31/2016 , Audience: P, F, A
- •
  Introducing Independence LIVE! (Administrative)
  Posted: 7/29/2016 , Audience: P, F, A
- •
  Updated policies for Always Bundled Procedure Codes (Medical)
  Posted: 7/29/2016 , Audience: P
- •
  New policies for Modifier 53: Discontinued Procedure (Medical)
  Posted: 7/29/2016 , Audience: P
- •
  Coverage requirements for applied behavioral analysis for the treatment of autism spectrum disorders (Medical)
  Posted: 7/29/2016 , Audience: P
- •
  Upcoming changes to 2016 ePASS^® incentive opportunity (Medical)
  Posted: 7/29/2016 , Audience: P
- •
  Notification for inpatient facility maternity claims (Administrative)
  Posted: 7/29/2016 , Audience: P, F, A
- •
  New transactions on NaviNet^® and user guides available (NaviNet)
  Posted: 7/29/2016 , Audience: P, F, A
- •
  Carenet outreach program continues (Administrative)
  Posted: 7/29/2016 , Audience: P
- •
  Help your patients get healthy this summer (Health and Wellness)
  Posted: 7/29/2016 , Audience: P
- •
  Encourage pregnant Independence members to enroll in Baby BluePrints^® (Health and Wellness)
  Posted: 7/29/2016 , Audience: P
- •
  Updated physician quality measure rankings (Quality Management)
  Posted: 7/29/2016 , Audience: P
- •
  New functionality for CAQH ProView^™* (Administrative)
  Posted: 7/29/2016 , Audience: P
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 7/29/2016 , Audience: P, F, A
- •
  Upcoming coverage position changes for certain laboratory tests (Medical)
  Posted: 7/29/2016 , Audience: P, F, A
- •
  Vitamin D testing policies now in effect (Medical)
  Posted: 7/29/2016 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 7/29/2016 , Audience: P, F, A
- •
  Behavioral health: Promoting provider communication and collaboration (Health and Wellness)
  Posted: 7/29/2016 , Audience: P
- •
  Reminder: Utilization management program for genetic/genomic tests, certain molecular analyses, and cytogenetic tests now in effect (Medical)
  Posted: 7/29/2016 , Audience: P, F, A
- •
  New Claims Dashboard Guide now available (NaviNet)
  Posted: 7/22/2016 , Audience: P, F, A
- •
  Public Health Preparedness Recommendations for the Democratic National Convention (Administrative)
  Posted: 7/20/2016 , Audience: P, F, A
- •
  Increase in Shigellosis Infections in Philadelphia (Health and Wellness)
  Posted: 7/20/2016 , Audience: P, F
- •
  Updates to policies pertaining to nerve conduction studies and needle electromyography (Medical)
  Posted: 6/30/2016 , Audience: P
- •
  Reminder: Important message for providers who prescribe drugs for Medicare patients (Pharmacy)
  Posted: 6/30/2016 , Audience: P
- •
  Yervoy^® being added to Dosing and Frequency Program (Medical)
  Posted: 6/30/2016 , Audience: P
- •
  Understanding prescription drug vouchers (Pharmacy)
  Posted: 6/30/2016 , Audience: P, F
- •
  Updated InterQual^® guidelines for 2016 (Medical)
  Posted: 6/30/2016 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 6/30/2016 , Audience: P, F, A
- •
  Coming soon: New Eligibility and Benefits Inquiry transaction (NaviNet)
  Posted: 6/30/2016 , Audience: P, F, A
- •
  Updated information on COB Questionnaire for out-of-area members (BlueCard)
  Posted: 6/30/2016 , Audience: P, F, A
- •
  Mapping change for vaginal delivery claims (Billing & Reimbursement)
  Posted: 6/30/2016 , Audience: F
- •
  Upcoming Risk Adjustment Data Validation audit (Administrative)
  Posted: 6/30/2016 , Audience: P
- •
  Claim notifications and common ICD coding errors on paper and electronic claims (Billing & Reimbursement)
  Posted: 6/30/2016 , Audience: P, F, A
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 6/30/2016 , Audience: P, F, A
- •
  Utilization management program for genetic/genomic tests, certain molecular analyses, and cytogenetic tests now in effect (Medical)
  Posted: 6/30/2016 , Audience: P, F, A
- •
  Prescription drug updates (Pharmacy)
  Posted: 6/1/2016 , Audience: P, F, A
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 6/1/2016 , Audience: P, F, A
- •
  Recent updates to Direct Ship Drug Program (Medical)
  Posted: 6/1/2016 , Audience: P, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 6/1/2016 , Audience: P, F, A
- •
  Positive results in Independence's 2015 Provider Satisfaction Survey (Quality Management)
  Posted: 6/1/2016 , Audience: P
- •
  Upcoming training for precertification of certain genetic/genomic tests through eviCore (Medical)
  Posted: 6/1/2016 , Audience: P, F, A
- •
  Document Exchange coming soon to NaviNet^® (NaviNet)
  Posted: 6/1/2016 , Audience: P, F, A
- •
  Health Coaches: Supporting your patients, our members (Health and Wellness)
  Posted: 6/1/2016 , Audience: P
- •
  Changes in reimbursement display (Billing & Reimbursement)
  Posted: 6/1/2016 , Audience: F, A
- •
  Professional Injectable and Vaccine Fee Schedule updates effective July 1, 2016 (Billing & Reimbursement)
  Posted: 6/1/2016 , Audience: P, F, A
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 6/1/2016 , Audience: P, F, A
- •
  Coming soon: Healthy Families and Kids (Health and Wellness)
  Posted: 6/1/2016 , Audience: P
- •
  Important billing reminders for hospitals (Billing & Reimbursement)
  Posted: 6/1/2016 , Audience: F
- •
  Reminder: Concierge medical practices prohibited as a participating provider (Administrative)
  Posted: 6/1/2016 , Audience: P
- •
  BlueCard^® PPO Professional Host claim submissions (BlueCard)
  Posted: 6/1/2016 , Audience: P
- •
  NaviNet^® authorization requests with a Pended status (NaviNet)
  Posted: 4/29/2016 , Audience: P, F, A
- •
  Update on appropriate use of vitamin D testing (Medical)
  Posted: 4/29/2016 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 4/29/2016 , Audience: P, F, A
- •
  Reimbursement of emergency room services (Billing & Reimbursement)
  Posted: 4/29/2016 , Audience: P, F, A
- •
  Behavioral health: Promoting provider communication and collaboration (Health and Wellness)
  Posted: 4/29/2016 , Audience: P
- •
  Utilization management program for genetic/genomic tests, certain molecular analyses, and cytogenetic tests (Medical)
  Posted: 4/29/2016 , Audience: P, F, A
- •
  Precertification for diagnostic imaging services (Medical)
  Posted: 4/29/2016 , Audience: P
- •
  CDC guidelines for prescribing opioids for chronic pain (Pharmacy)
  Posted: 4/29/2016 , Audience: P
- •
  New Claims Dashboard and Document Exchange NaviNet^® functionality (NaviNet)
  Posted: 4/29/2016 , Audience: P, F, A
- •
  Enrollment in Medicaid plans of Medicaid members you treat (BlueCard)
  Posted: 4/29/2016 , Audience: F, A
- •
  Reminder: Common ICD coding errors identified on paper and electronic claims (Billing & Reimbursement)
  Posted: 4/29/2016 , Audience: P, F, A
- •
  Important reimbursement information for professional providers (Billing & Reimbursement)
  Posted: 4/29/2016 , Audience: P
- •
  Roles and responsibilities of a NaviNet^® Security Officer (NaviNet)
  Posted: 4/29/2016 , Audience: P, F, A
- •
  Encourage pregnant Independence members to enroll in Baby BluePrints^® (Health and Wellness)
  Posted: 4/29/2016 , Audience: P
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 4/29/2016 , Audience: P, F, A
- •
  Independence's utilization remains within national/regional standards of care (Quality Management)
  Posted: 4/29/2016 , Audience: P, F
- •
  Help your patients reduce their risk for osteoporosis (Health and Wellness)
  Posted: 4/29/2016 , Audience: P
- •
  Compliance training for Medicare programs (Administrative)
  Posted: 4/29/2016 , Audience: P, F, A
- •
  Angel Flight East can help! (Administrative)
  Posted: 4/12/2016 , Audience: P, F, A
- •
  Independence Physicians Summit (Quality Management)
  Posted: 3/31/2016 , Audience: P
- •
  Important message for providers who prescribe drugs for Medicare patients (Pharmacy)
  Posted: 3/31/2016 , Audience: P
- •
  Medication Therapy Management program available for Independence members (Pharmacy)
  Posted: 3/31/2016 , Audience: P, F
- •
  Reminder: Clinical Relationship Logic and Code-to-Code Edits (Medical)
  Posted: 3/31/2016 , Audience: P, F, A
- •
  Thorough completion of prior authorization forms linked to improved member satisfaction (Pharmacy)
  Posted: 3/31/2016 , Audience: P, F
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 3/31/2016 , Audience: P, F, A
- •
  Precertification approval email notifications to be offered by eviCore (Medical)
  Posted: 3/31/2016 , Audience: P, F
- •
  New utilization management program for genetic/genomic testing and certain molecular analyses (Medical)
  Posted: 3/31/2016 , Audience: P, F
- •
  Changes to notification process for newly credentialed practitioners (Administrative)
  Posted: 3/31/2016 , Audience: P
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 3/31/2016 , Audience: P, F, A
- •
  Easy to use online peer-to-peer request form (Administrative)
  Posted: 3/31/2016 , Audience: P, F, A
- •
  Improving lead testing among CHIP members (Quality Management)
  Posted: 3/31/2016 , Audience: P
- •
  Enhancements coming to NaviNet^® in April (NaviNet)
  Posted: 3/31/2016 , Audience: P, F, A
- •
  Billing preventive gynecological visits for Medicare Advantage members (Billing & Reimbursement)
  Posted: 3/31/2016 , Audience: P
- •
  Reminder: Transitioning outstanding A/R balances (Billing & Reimbursement)
  Posted: 3/31/2016 , Audience: P, F
- •
  Coming soon: Important reimbursement information for professional providers (Billing & Reimbursement)
  Posted: 3/31/2016 , Audience: P
- •
  Capitation rate adjustments (Administrative)
  Posted: 3/31/2016 , Audience: P
- •
  Criteria for endometrial ablation (Medical)
  Posted: 2/29/2016 , Audience: P, F
- •
  Prescription drug updates (Pharmacy)
  Posted: 2/29/2016 , Audience: P, F, A
- •
  Coverage for Autism Spectrum Disorders (Medical)
  Posted: 2/29/2016 , Audience: P
- •
  2016 ePASS^® incentive opportunity for professional providers (Medical)
  Posted: 2/29/2016 , Audience: P
- •
  The benefits of statin therapy in diabetic patients (Pharmacy)
  Posted: 2/29/2016 , Audience: P
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 2/29/2016 , Audience: P, F, A
- •
  Reminder: New preferred providers for Direct Ship Drug Program and IVIG/SCIG home infusion (Medical)
  Posted: 2/29/2016 , Audience: P, F
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 2/29/2016 , Audience: P, F, A
- •
  Billing for observation services when combined with other outpatient services (Billing & Reimbursement)
  Posted: 2/29/2016 , Audience: F
- •
  New NaviNet^® look, same great resource (NaviNet)
  Posted: 2/29/2016 , Audience: P, F, A
- •
  Health Coaches: Supporting your patients, our members (Health and Wellness)
  Posted: 2/29/2016 , Audience: P
- •
  Professional Injectable and Vaccine Fee Schedule updates effective April 1, 2016 (Billing & Reimbursement)
  Posted: 2/29/2016 , Audience: P, F, A
- •
  New claims reporting requirements now in effect for home infusion vendors (Billing & Reimbursement)
  Posted: 2/29/2016 , Audience: A
- •
  Help fight against fraud, waste, and abuse (Administrative)
  Posted: 2/29/2016 , Audience: P, F, A
- •
  Accessing the Provider Automated System (Administrative)
  Posted: 2/29/2016 , Audience: P, F, A
- •
  New 1500 Claim Submission and Claim Log transactions now available (NaviNet)
  Posted: 2/29/2016 , Audience: P, A
- •
  Update on APC reimbursements (Billing & Reimbursement)
  Posted: 2/29/2016 , Audience: F
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 2/29/2016 , Audience: P, F, A
- •
  Important information about the Zika virus (Health and Wellness)
  Posted: 2/29/2016 , Audience: P
- •
  Provider Automated System change (Administrative)
  Posted: 2/12/2016 , Audience: P, F, A
- •
  New NaviNet^® Open Plan Central is here (NaviNet)
  Posted: 2/11/2016 , Audience: P, F, A
- •
  Telemedicine solutions for Independence commercial members (Medical)
  Posted: 1/29/2016 , Audience: P
- •
  Reminder: Independence medical record requests and ePASS^® submissions now using EFT for payments (Medical)
  Posted: 1/29/2016 , Audience: P, F
- •
  New guide available regarding high-risk medications (Pharmacy)
  Posted: 1/29/2016 , Audience: P, F
- •
  Resources available to promote antimicrobial stewardship in our community (Pharmacy)
  Posted: 1/29/2016 , Audience: P
- •
  Reminder: Important message for providers who prescribe drugs for Medicare patients (Pharmacy)
  Posted: 1/29/2016 , Audience: P
- •
  New preferred providers for Direct Ship Drug Program and IVIG/SCIG home infusion (Medical)
  Posted: 1/29/2016 , Audience: P, F
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 1/29/2016 , Audience: P, F, A
- •
  Opioid abuse epidemic (Pharmacy)
  Posted: 1/29/2016 , Audience: P
- •
  Update your provider information with us (Administrative)
  Posted: 1/29/2016 , Audience: P, F, A
- •
  Heart disease vs. exercise — fight fire with fire (Health and Wellness)
  Posted: 1/29/2016 , Audience: P
- •
  Update to Independence Administrators’ Health Utilization Management program (Administrative)
  Posted: 1/29/2016 , Audience: P, F, A
- •
  Member liability for missed appointments (Administrative)
  Posted: 1/29/2016 , Audience: P
- •
  Reminder: Common ICD coding errors identified on paper and electronic claims (Billing & Reimbursement)
  Posted: 1/29/2016 , Audience: P, F, A
- •
  Encourage pregnant Independence members to enroll in Baby BluePrints^® (Health and Wellness)
  Posted: 1/29/2016 , Audience: P
- •
  New address for sending Host Plan medical records (BlueCard)
  Posted: 1/29/2016 , Audience: F, A
- •
  1500 Claim Submission and Claim Log transactions coming soon to NaviNet^® (NaviNet)
  Posted: 1/29/2016 , Audience: P, A
- •
  Upcoming changes to claims reporting requirements for home infusion providers (Billing & Reimbursement)
  Posted: 1/29/2016 , Audience: A
- •
  Independence becomes first major insurer to cover next-generation whole genome sequencing (Administrative)
  Posted: 1/11/2016 , Audience: P, F, A
Blue
2015 Updates
- •
  Ensure patients know how to access care after office hours (Quality Management)
  Posted: 12/30/2015 , Audience: P
- •
  Reminder: NaviNet^® resources available (NaviNet)
  Posted: 12/30/2015 , Audience: P, F, A
- •
  Updated payer ID grids now available (Billing & Reimbursement)
  Posted: 12/30/2015 , Audience: P, F, A
- •
  Confirmation of precertified procedures (Administrative)
  Posted: 12/30/2015 , Audience: F
- •
  Concierge medical practices prohibited as a participating provider (Administrative)
  Posted: 12/30/2015 , Audience: P
- •
  Importance of providing timely clinical information on emergency admissions (Administrative)
  Posted: 12/30/2015 , Audience: F
- •
  Update your provider information with us (Administrative)
  Posted: 12/30/2015 , Audience: P, F, A
- •
  New Provider Automated System is now live (Administrative)
  Posted: 12/30/2015 , Audience: P, F, A
- •
  Upcoming changes to claims reporting requirements for home infusion providers (Billing & Reimbursement)
  Posted: 12/30/2015 , Audience: P, F, A
- •
  Tips to promote antimicrobial stewardship in our community (Pharmacy)
  Posted: 12/30/2015 , Audience: P
- •
  Medication Therapy Management program available for your patients (Pharmacy)
  Posted: 12/30/2015 , Audience: P, F
- •
  Prescribing high-risk medications for your older adult patients (Pharmacy)
  Posted: 12/30/2015 , Audience: P, F
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 12/30/2015 , Audience: P, F, A
- •
  Reminder: Changes to precertification requirements for 2016 (Medical)
  Posted: 12/30/2015 , Audience: P, F
- •
  Precertification changes for non-emergent outpatient radiation therapy services (Medical)
  Posted: 12/30/2015 , Audience: P, F
- •
  2015 Cumulative Index now available (Administrative)
  Posted: 12/30/2015 , Audience: P, F, A
- •
  Keystone 65 Focus coverage starts in 2016 (Products)
  Posted: 12/30/2015 , Audience: P, F, A
- •
  New Provider Automated System now available (Administrative)
  Posted: 12/22/2015 , Audience: P, F, A
- •
  2015-2016 Member Wellness Guidelines now available (Quality Management)
  Posted: 12/1/2015 , Audience: P
- •
  2015-2016 Clinical Practice Guideline Summary now available (Quality Management)
  Posted: 12/1/2015 , Audience: P
- •
  Common ICD coding errors identified on paper and electronic claims (ICD-10)
  Posted: 12/1/2015 , Audience: P, F, A
- •
  Capitation arrangements for Keystone 65 Focus (Products)
  Posted: 12/1/2015 , Audience: P
- •
  Lead testing for CHIP members before their second birthday (Quality Management)
  Posted: 12/1/2015 , Audience: P
- •
  Clarification: New routine chiropractic and podiatry benefits for Medicare Advantage plans in 2016 (Products)
  Posted: 12/1/2015 , Audience: P
- •
  NaviNet^® resources available on the Provider News Center (NaviNet)
  Posted: 12/1/2015 , Audience: P, F, A
- •
  Final edition of Inside IPP and new BlueCard^® resources now available (BlueCard)
  Posted: 12/1/2015 , Audience: F, A
- •
  Updated payer ID grids available soon (Billing & Reimbursement)
  Posted: 12/1/2015 , Audience: P, F, A
- •
  Out-of-pocket maximums for commercial HMO, POS, and PPO members beginning January 1, 2016 (Administrative)
  Posted: 12/1/2015 , Audience: P, F, A
- •
  New Provider Automated System launch postponed (Administrative)
  Posted: 12/1/2015 , Audience: P, F, A
- •
  Professional Injectable and Vaccine Fee Schedule updates effective January 1, 2016 (Billing & Reimbursement)
  Posted: 12/1/2015 , Audience: P, F, A
- •
  Update your provider information with us (Administrative)
  Posted: 12/1/2015 , Audience: P, F, A
- •
  Standards for medical record documentation: Medical record review (Quality Management)
  Posted: 12/1/2015 , Audience: P, F, A
- •
  New Independence Administrators office location (Administrative)
  Posted: 12/1/2015 , Audience: P, F, A
- •
  Contraceptive coverage changes for 2016 (Pharmacy)
  Posted: 12/1/2015 , Audience: P
- •
  Coverage of non-FDA-approved drugs (Pharmacy)
  Posted: 12/1/2015 , Audience: P
- •
  Prescription drug updates (Pharmacy)
  Posted: 12/1/2015 , Audience: P, F, A
- •
  Important message for providers who prescribe drugs for Medicare patients (Pharmacy)
  Posted: 12/1/2015 , Audience: P
- •
  Prescribing medications for your older adult patients (Pharmacy)
  Posted: 12/1/2015 , Audience: P
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 12/1/2015 , Audience: P, F, A
- •
  Our prescription drug program and safe prescribing procedures (Pharmacy)
  Posted: 12/1/2015 , Audience: P
- •
  Upcoming changes in coverage for intrauterine devices (Medical)
  Posted: 12/1/2015 , Audience: P
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 12/1/2015 , Audience: P, F, A
- •
  Update on coverage for digital breast tomosynthesis (Medical)
  Posted: 12/1/2015 , Audience: P
- •
  Upcoming changes to precertification requirements for 2016 (Medical)
  Posted: 12/1/2015 , Audience: P
- •
  Reminder: Upcoming changes to medical benefit specialty drug cost-sharing for 2016 (Medical)
  Posted: 12/1/2015 , Audience: P
- •
  Introducing telemedicine primary care for our commercial members (Medical)
  Posted: 12/1/2015 , Audience: P
- •
  Independence medical record requests and ePASS^® submissions now using EFT for payments (Medical)
  Posted: 12/1/2015 , Audience: P, F
- •
  Reminder: Important billing information for modifiers 25 and –X{EPSU} and 59 (Billing & Reimbursement)
  Posted: 10/30/2015 , Audience: P
- •
  Encourage pregnant Independence members to register for Baby BluePrints^® (Health and Wellness)
  Posted: 10/30/2015 , Audience: P
- •
  Member benefit changes and clarifications for commercial members (Products)
  Posted: 10/30/2015 , Audience: P, F, A
- •
  Policy reminder regarding utilization review decisions (Quality Management)
  Posted: 10/30/2015 , Audience: P, F
- •
  Our Quality Management Program promotes quality of care and service (Quality Management)
  Posted: 10/30/2015 , Audience: P, F, A
- •
  Standards for medical record documentation: When there is a consultation (Quality Management)
  Posted: 10/30/2015 , Audience: P
- •
  Keystone 65 Focus now available for 2016 (Products)
  Posted: 10/30/2015 , Audience: P, F, A
- •
  Providers required to use self-service options on NaviNet^® (NaviNet)
  Posted: 10/30/2015 , Audience: P, F, A
- •
  Updated UB-04 guide and CMS-1500 toolkit now available (Billing & Reimbursement)
  Posted: 10/30/2015 , Audience: P, F
- •
  Update your provider information with us (Administrative)
  Posted: 10/30/2015 , Audience: P, F, A
- •
  Reminder: Upcoming changes to drug precertification requirements for 2016 (Medical)
  Posted: 10/30/2015 , Audience: P
- •
  Appropriate use of vitamin D testing (Medical)
  Posted: 10/30/2015 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 10/30/2015 , Audience: P, F, A
- •
  Help your patients stay healthy in mind, body, and spirit throughout the holiday season with SilverSneakers^® (Health and Wellness)
  Posted: 10/30/2015 , Audience: P
- •
  Suicide: A concern for all health care providers (Health and Wellness)
  Posted: 10/30/2015 , Audience: P
- •
  Benefit tier re-evaluation for Keystone HMO Proactive (Products)
  Posted: 10/1/2015 , Audience: P, F, A
- •
  Highlighting HEDIS^®: Breast cancer screening (Quality Management)
  Posted: 10/1/2015 , Audience: P
- •
  Chronic care management for Medicare beneficiaries (Administrative)
  Posted: 10/1/2015 , Audience: P
- •
  Independence members rate their physician experience (Quality Management)
  Posted: 10/1/2015 , Audience: P
- •
  Upcoming Medicare Advantage HMO and PPO benefit changes (Products)
  Posted: 10/1/2015 , Audience: P, F, A
- •
  ICD-10: FAQ highlights (ICD-10)
  Posted: 10/1/2015 , Audience: P, F, A
- •
  Keystone 65 Focus Rx HMO, our new Medicare Advantage benefit product (Products)
  Posted: 10/1/2015 , Audience: P, F, A
- •
  Reminder of recent changes to NaviNet^® (NaviNet)
  Posted: 10/1/2015 , Audience: P, F, A
- •
  Update your provider information with us (Administrative)
  Posted: 10/1/2015 , Audience: P, F, A
- •
  Independence physician quality measure rankings available on the BCBSA national provider finder (Administrative)
  Posted: 10/1/2015 , Audience: P
- •
  Independence offers services to help patients communicate (Quality Management)
  Posted: 10/1/2015 , Audience: P
- •
  Peer-to-peer reconsideration requests for Medicare Advantage members (Administrative)
  Posted: 10/1/2015 , Audience: P, F, A
- •
  Quality ranking for primary care offices (Quality Management)
  Posted: 10/1/2015 , Audience: P
- •
  Carenet pilot program underway (Administrative)
  Posted: 10/1/2015 , Audience: P
- •
  Coming soon: New Provider Automated System (Administrative)
  Posted: 10/1/2015 , Audience: P, F, A
- •
  Direct Ship Drug Program updates (Medical)
  Posted: 10/1/2015 , Audience: P
- •
  Important news about the annual Synagis^® (palivizumab) distribution program (Medical)
  Posted: 10/1/2015 , Audience: P
- •
  Upcoming changes to medical benefit specialty drug cost-sharing for 2016 (Medical)
  Posted: 10/1/2015 , Audience: P
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 10/1/2015 , Audience: P, F, A
- •
  Upcoming changes to drug precertification requirements for 2016 (Medical)
  Posted: 10/1/2015 , Audience: P
- •
  World Meeting of Families and Papal Visit – Public Health Preparedness Recommendations (Administrative)
  Posted: 9/22/2015 , Audience: P, F, A
- •
  ICD-10 Quick Tips: Updated guidelines for submitting authorizations and referrals (ICD-10)
  Posted: 9/22/2015 , Audience: P, F, A
- •
  Preparing for the upcoming October 1, 2015, ICD-10 compliance date (ICD-10)
  Posted: 9/1/2015 , Audience: P, F, A
- •
  Introducing Keystone 65 Focus Rx HMO, our new defined-network Medicare Advantage plan (Products)
  Posted: 9/1/2015 , Audience: P, F, A
- •
  Changes coming in mid-September to NaviNet^® (NaviNet)
  Posted: 9/1/2015 , Audience: P, F, A
- •
  Let's Go See initiative raises awareness of vision problems in children (Health and Wellness)
  Posted: 9/1/2015 , Audience: P
- •
  Join us for the next What’s Up Wednesday call on September 16, 2015 (ICD-10)
  Posted: 9/1/2015 , Audience: P, F, A
- •
  Medical Nutrition Therapy coverage for Medicare Advantage members (Billing & Reimbursement)
  Posted: 9/1/2015 , Audience: P
- •
  Professional Injectable and Vaccine Fee Schedule updates effective October 1, 2015 (Billing & Reimbursement)
  Posted: 9/1/2015 , Audience: P, F, A
- •
  Prescription drug updates (Pharmacy)
  Posted: 9/1/2015 , Audience: P, F, A
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 9/1/2015 , Audience: P, F, A
- •
  Annual Synagis^® (palivizumab) distribution program approaches (Medical)
  Posted: 9/1/2015 , Audience: P, A
- •
  Chiropractic services policy update (Medical)
  Posted: 9/1/2015 , Audience: P
- •
  Reminder: Coverage for injectable drugs that reduce the risk of preterm birth (Medical)
  Posted: 9/1/2015 , Audience: P, F
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 9/1/2015 , Audience: P, F, A
- •
  Suicide: A concern for all health care providers (Health and Wellness)
  Posted: 9/1/2015 , Audience: P, F, A
- •
  Air ambulance claim requirements (Administrative)
  Posted: 7/31/2015 , Audience: A
- •
  The Summer 2015 edition of Inside IPP is now available (Administrative)
  Posted: 7/31/2015 , Audience: F, A
- •
  Updated CMS-1500 claim form resources now available (Billing & Reimbursement)
  Posted: 7/31/2015 , Audience: P, A
- •
  Reminder: Important billing information for modifier 25 and modifiers –X{EPSU} and 59 (Billing & Reimbursement)
  Posted: 7/31/2015 , Audience: P
- •
  ICD-10 is fast approaching – Are you ready? (ICD-10)
  Posted: 7/31/2015 , Audience: P, F, A
- •
  Select standard fee schedules available on NaviNet^® (Billing & Reimbursement)
  Posted: 7/31/2015 , Audience: P, F
- •
  Join us for the next What's Up Wednesday on August 19, 2015 (ICD-10)
  Posted: 7/31/2015 , Audience: P, F, A
- •
  Use the full member ID number when billing for service (Billing & Reimbursement)
  Posted: 7/31/2015 , Audience: P, F, A
- •
  Highlighting HEDIS^®: Weight assessment and counseling for nutrition and physical activity for children/adolescents (Quality Management)
  Posted: 7/31/2015 , Audience: P
- •
  Health Coaches: Supporting your patients, our members (Health and Wellness)
  Posted: 7/31/2015 , Audience: P
- •
  Encourage pregnant Independence members to register for Baby BluePrints^® (Health and Wellness)
  Posted: 7/31/2015 , Audience: P
- •
  Discontinuation of postcard notification for Partners in Health Update^SM (Administrative)
  Posted: 7/31/2015 , Audience: P, F, A
- •
  Reminder from Independence Administrators: Register on NaviNet^® (Administrative)
  Posted: 7/31/2015 , Audience: P, F, A
- •
  Help your patients get healthy this summer with SilverSneakers^® (Health and Wellness)
  Posted: 7/31/2015 , Audience: P
- •
  View up-to-date medical and claim payment policy activity on the Medical Policy Portal (Medical)
  Posted: 7/31/2015 , Audience: P, F, A
- •
  New behavioral health resources for collaboration and care (Health and Wellness)
  Posted: 7/31/2015 , Audience: P, F
- •
  Obtaining precertification for non-emergent radiation therapy services through NaviNet^® (Medical)
  Posted: 7/2/2015 , Audience: P, F
- •
  Highlighting HEDIS^®: Osteoporosis management in women who had a fracture (Quality Management)
  Posted: 7/2/2015 , Audience: P
- •
  Clarifying member cost-share amounts for medical benefit drugs (Medical)
  Posted: 7/2/2015 , Audience: P
- •
  New mail-order facility for your patients with FutureScripts^® Secure coverage (Pharmacy)
  Posted: 7/2/2015 , Audience: P, F, A
- •
  Suicide: A concern for all health care providers (Health and Wellness)
  Posted: 7/2/2015 , Audience: P
- •
  Reminder of upcoming July NaviNet^® release (NaviNet)
  Posted: 7/2/2015 , Audience: P, F, A
- •
  Procedures for terminating a patient from a practice (Administrative)
  Posted: 7/2/2015 , Audience: P
- •
  Join us for the next What’s Up Wednesday on July 15, 2015 (ICD-10)
  Posted: 7/2/2015 , Audience: P, F, A
- •
  Independence to roll out new and improved member portal (Administrative)
  Posted: 7/2/2015 , Audience: P, F, A
- •
  Get ready for the upcoming ICD-10 compliance date (ICD-10)
  Posted: 7/2/2015 , Audience: P, F, A
- •
  Claims processing requirements for PCPs rendering services to members in long-term care facilities (Billing & Reimbursement)
  Posted: 7/2/2015 , Audience: P, A
- •
  Billing requirement for anesthesia claims (Billing & Reimbursement)
  Posted: 7/2/2015 , Audience: P
- •
  Reminder: Use –X{EPSU} modifiers to report separate, distinct, or independent non-E&M services on the same day (Medical)
  Posted: 7/2/2015 , Audience: P, F
- •
  View up-to-date medical and claim payment policy activity on the Medical Policy Portal (Medical)
  Posted: 7/2/2015 , Audience: P, F, A
- •
  Urgent care centers and retail health clinics are alternatives to the ER when physicians are unavailable (Health and Wellness)
  Posted: 6/1/2015 , Audience: P, F
- •
  Appropriate use of Suboxone^® (Pharmacy)
  Posted: 6/1/2015 , Audience: P
- •
  Clarification: Independence's guidelines for submitting authorizations and referrals (ICD-10)
  Posted: 6/1/2015 , Audience: P, F, A
- •
  Prescription drug updates (Pharmacy)
  Posted: 6/1/2015 , Audience: P, F, A
- •
  Ensuring better drug coverage determination outcomes for you and your patients (Pharmacy)
  Posted: 6/1/2015 , Audience: P
- •
  Medical and claim payment policy activity posted from April 25 – May 22, 2015 (Medical)
  Posted: 6/1/2015 , Audience: P, F, A
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 6/1/2015 , Audience: P, F, A
- •
  Gender reassignment surgery claims for Medicare Advantage members (Medical)
  Posted: 6/1/2015 , Audience: P, F
- •
  New medical policy criteria for commercial members in treatment for osteoarthritis of the knee (Medical)
  Posted: 6/1/2015 , Audience: P
- •
  Updated InterQual^® guidelines for 2015 (Medical)
  Posted: 6/1/2015 , Audience: P, F, A
- •
  Professional Injectable and Vaccine Fee Schedule updates effective July 1, 2015 (Billing & Reimbursement)
  Posted: 6/1/2015 , Audience: P, F, A
- •
  Join us for the next What’s Up Wednesday call on June 17, 2015 (ICD-10)
  Posted: 6/1/2015 , Audience: P, F, A
- •
  Improvements to spending account payment integration (Administrative)
  Posted: 6/1/2015 , Audience: P, F, A
- •
  Help prevent identity theft and insurance fraud (Administrative)
  Posted: 6/1/2015 , Audience: P, F, A
- •
  New changes to NaviNet scheduled for July release (NaviNet)
  Posted: 6/1/2015 , Audience: P, F, A
- •
  Reminder: Transitioning outstanding Accounts Receivable balances to new platform (Billing & Reimbursement)
  Posted: 6/1/2015 , Audience: P, F
- •
  Coming soon: Easy to use online peer-to-peer request form (Administrative)
  Posted: 6/1/2015 , Audience: P, F, A
- •
  Reminder: Pre-service review for out-of-area members available through NaviNet (NaviNet)
  Posted: 5/1/2015 , Audience: P, F
- •
  CareCore's radiation therapy criteria now in effect (Medical)
  Posted: 5/1/2015 , Audience: P, F
- •
  Independence's guidelines for submitting authorizations and referrals (ICD-10)
  Posted: 5/1/2015 , Audience: P, F, A
- •
  Medical and claim payment policy activity posted from March 24 – April 24, 2015 (Medical)
  Posted: 5/1/2015 , Audience: P, F, A
- •
  Changes to the Direct Ship Injectables Program (Medical)
  Posted: 5/1/2015 , Audience: P
- •
  Suicide: A concern for all health care providers (Health and Wellness)
  Posted: 5/1/2015 , Audience: P
- •
  Independence encourages medical and behavioral health providers to work together (Quality Management)
  Posted: 5/1/2015 , Audience: P, F
- •
  Report prescription drug or health care fraud (Administrative)
  Posted: 5/1/2015 , Audience: P, F, A
- •
  Overpayments for certain Medicare Advantage members identified and corrected (Administrative)
  Posted: 5/1/2015 , Audience: P, A
- •
  Help your patients stay fit this spring with SilverSneakers^® (Health and Wellness)
  Posted: 5/1/2015 , Audience: P
- •
  Join us for the next What’s Up Wednesday call on May 20, 2015 (ICD-10)
  Posted: 5/1/2015 , Audience: P, F, A
- •
  Encourage pregnant Independence members to register for Baby BluePrints^® (Health and Wellness)
  Posted: 5/1/2015 , Audience: P
- •
  Reminder: Important billing information for modifiers 25 and 59 (Billing & Reimbursement)
  Posted: 5/1/2015 , Audience: P
- •
  Help your heart failure patients avoid hospital readmission (Health and Wellness)
  Posted: 5/1/2015 , Audience: P
- •
  Reminder: Billing requirements for billing multiple services (Billing & Reimbursement)
  Posted: 5/1/2015 , Audience: P
- •
  Positive results in Independence's 2014 Provider Satisfaction Survey (Quality Management)
  Posted: 5/1/2015 , Audience: P
- •
  Highlighting HEDIS^®: Well-child visits in the third, fourth, fifth, and sixth years of life (Quality Management)
  Posted: 5/1/2015 , Audience: P
- •
  Updated Hospital Manual now available (Administrative)
  Posted: 5/1/2015 , Audience: F, A
- •
  Changes to NaviNet^® Referrals transaction coming in May (NaviNet)
  Posted: 5/1/2015 , Audience: P, F
- •
  Enforcing claims processing requirements (Billing & Reimbursement)
  Posted: 5/1/2015 , Audience: P, F, A
- •
  Improving lead testing among CHIP members (Quality Management)
  Posted: 4/1/2015 , Audience: P
- •
  Correction: Claim submission requirements when billing with place of service code 22 (Billing & Reimbursement)
  Posted: 4/1/2015 , Audience: P, A
- •
  NaviNet^® to provide direct access link to CareCore's provider portal (Medical)
  Posted: 4/1/2015 , Audience: P, F
- •
  Medical and claim payment policy activity posted from February 21 – March 23, 2015 (Medical)
  Posted: 4/1/2015 , Audience: P, F, A
- •
  Independence's Medicare utilization remains within national standards (Quality Management)
  Posted: 4/1/2015 , Audience: P
- •
  Highlighting HEDIS^®: Well-child visits in the first 15 months of life (Quality Management)
  Posted: 4/1/2015 , Audience: P
- •
  EDI web resources updated (Billing & Reimbursement)
  Posted: 4/1/2015 , Audience: P, F
- •
  User guides and webinar now available for recent NaviNet^® transaction changes (NaviNet)
  Posted: 4/1/2015 , Audience: P, F, A
- •
  Business Transformation has been completed (Business Transformation)
  Posted: 4/1/2015 , Audience: P, F, A
- •
  Join us for the next What’s Up Wednesday call on April 15, 2015 (ICD-10)
  Posted: 4/1/2015 , Audience: P, F, A
- •
  External testing update and tips for a successful conversion (ICD-10)
  Posted: 4/1/2015 , Audience: P, F, A
- •
  Updated process for submitting an overpayment/refund request (Billing & Reimbursement)
  Posted: 4/1/2015 , Audience: P, F, A
- •
  Free mobile health tool for your patients: CareCam app now available for diabetes and asthma self-management (Health and Wellness)
  Posted: 4/1/2015 , Audience: P
- •
  Know your terms (Health and Wellness)
  Posted: 4/1/2015 , Audience: P
- •
  New CAQH recredentialing process now in effect* (Administrative)
  Posted: 3/2/2015 , Audience: P
- •
  Billing procedures for credentialed Certified Registered Nurse Practitioners (Administrative)
  Posted: 3/2/2015 , Audience: P
- •
  Prescription drug updates (Pharmacy)
  Posted: 3/2/2015 , Audience: P, F, A
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 3/2/2015 , Audience: P, F, A
- •
  Medical and claim payment policy activity posted from January 24 – February 20, 2015 (Medical)
  Posted: 3/2/2015 , Audience: P, F, A
- •
  Clarification: Injectable hyaluronate acid products being removed from the Direct Ship Injectables Program (Medical)
  Posted: 3/2/2015 , Audience: P
- •
  Non-emergent outpatient radiation therapy to be reviewed for medical necessity (Medical)
  Posted: 3/2/2015 , Audience: P, F
- •
  Claim submission requirements when billing with place of service code 22 (Billing & Reimbursement)
  Posted: 3/2/2015 , Audience: P, F
- •
  Join us for the next What’s Up Wednesday call on March 18, 2015 (ICD-10)
  Posted: 3/2/2015 , Audience: P, F, A
- •
  Highlighting HEDIS^®: Appropriate testing for children with pharyngitis (Quality Management)
  Posted: 3/2/2015 , Audience: P
- •
  Changes coming to NaviNet^® in March (NaviNet)
  Posted: 3/2/2015 , Audience: P, F, A
- •
  Stay informed during our transition to a new platform (Business Transformation)
  Posted: 3/2/2015 , Audience: P, F, A
- •
  Important billing information for modifiers 25 and 59 (Billing & Reimbursement)
  Posted: 3/2/2015 , Audience: P
- •
  Updated Provider Manual now available (Administrative)
  Posted: 3/2/2015 , Audience: P
- •
  Professional Injectable and Vaccine Fee Schedule updates effective April 1, 2015 (Billing & Reimbursement)
  Posted: 3/2/2015 , Audience: P, F, A
- •
  POA indicator and properly filling out claims (Billing & Reimbursement)
  Posted: 3/2/2015 , Audience: F
- •
  Proper screening colonoscopy billing for Medicare Advantage members (Billing & Reimbursement)
  Posted: 3/2/2015 , Audience: P, F
- •
  The Winter 2015 edition of Inside IPP is now available (BlueCard)
  Posted: 1/30/2015 , Audience: F, A
- •
  Reminder: Changes to the CAQH recredentialing process* (Administrative)
  Posted: 1/30/2015 , Audience: P
- •
  New changes to our ePASS^® incentive opportunity for professional providers (Medical)
  Posted: 1/30/2015 , Audience: P
- •
  Medical and claim payment policy activity posted from December 20, 2014 – January 23, 2015 (Medical)
  Posted: 1/30/2015 , Audience: P, F, A
- •
  Precertification and compliance monitoring for PAP machines and supplies (Medical)
  Posted: 1/30/2015 , Audience: P, F, A
- •
  ICD-10: Join us for the next What's Up Wednesday call (ICD-10)
  Posted: 1/30/2015 , Audience: P, F, A
- •
  Help your Medicare Advantage patients get fit in 2015 (Health and Wellness)
  Posted: 1/30/2015 , Audience: P
- •
  Stay informed during our transition to a new platform (Business Transformation)
  Posted: 1/30/2015 , Audience: P, F, A
- •
  NaviNet^® changes delayed until March (NaviNet)
  Posted: 1/30/2015 , Audience: P, F, A
- •
  Independence physician quality measure rankings available on the BCBSA national provider finder (Administrative)
  Posted: 1/30/2015 , Audience: P
- •
  Encourage pregnant Independence members to register for Baby BluePrints^® (Health and Wellness)
  Posted: 1/30/2015 , Audience: P
- •
  Highlighting HEDIS^®: Pharmacotherapy management of COPD exacerbation (Quality Management)
  Posted: 1/30/2015 , Audience: P
- •
  Additional HIPPS code requirements for certain SNF claims/encounters (Billing & Reimbursement)
  Posted: 1/30/2015 , Audience: F, A
- •
  Updated time frame for processing PCP changes (Administrative)
  Posted: 1/30/2015 , Audience: P
- •
  Encourage pregnant patients to receive a seasonal flu vaccine (Health and Wellness)
  Posted: 1/21/2015 , Audience: P, F, A
Blue
2014 Updates
- •
  What's Up Wednesday returns on January 21, 2015 (ICD-10)
  Posted: 12/30/2014 , Audience: P, F, A
- •
  Modifier 25 required for reporting removal of impacted cerumen (Billing & Reimbursement)
  Posted: 12/30/2014 , Audience: P, F, A
- •
  All Medicare Advantage HMO and PPO members migrated to the new platform (Business Transformation)
  Posted: 12/30/2014 , Audience: P, F, A
- •
  Updated payer ID grids available soon (Billing & Reimbursement)
  Posted: 12/30/2014 , Audience: P, F, A
- •
  Ensure patients know how to access care after office hours (Quality Management)
  Posted: 12/30/2014 , Audience: P
- •
  Upcoming changes to the CAQH recredentialing process (Administrative)
  Posted: 12/30/2014 , Audience: P
- •
  Highlighting HEDIS^®: Cervical cancer screening (Quality Management)
  Posted: 12/30/2014 , Audience: P
- •
  Changes coming in February 2015 to NaviNet^® (NaviNet)
  Posted: 12/30/2014 , Audience: P, F, A
- •
  2014 Cumulative Index now available (Administrative)
  Posted: 12/30/2014 , Audience: P, F, A
- •
  Medicare Advantage HMO and PPO policies now in effect (Medical)
  Posted: 12/30/2014 , Audience: P, F, A
- •
  New Preventive Plus benefit now in effect (Administrative)
  Posted: 12/30/2014 , Audience: P, F
- •
  New codes for digital breast tomosynthesis (Medical)
  Posted: 12/30/2014 , Audience: P, F, A
- •
  Changes to the experimental/investigational services policies effective January 1, 2015 (Medical)
  Posted: 12/30/2014 , Audience: P, F, A
- •
  Precertification requirements for FEP members for BRCA testing and outpatient services (Medical)
  Posted: 12/30/2014 , Audience: P, F
- •
  Download the latest precertification requirement list (Medical)
  Posted: 12/30/2014 , Audience: P, F, A
- •
  Medical and claim payment policy activity posted from November 21 – December 19, 2014 (Medical)
  Posted: 12/30/2014 , Audience: P, F, A
- •
  Injectable hyaluronate acid products being removed from the Direct Ship Injectables Program (Medical)
  Posted: 12/30/2014 , Audience: P
- •
  Things to remember when prescribing narcotic therapy (Pharmacy)
  Posted: 12/30/2014 , Audience: P
- •
  Reminder: Precertification requirements for DME providers are now in effect (Medical)
  Posted: 12/30/2014 , Audience: P, A
- •
  Precertification requirement for outpatient echocardiography services for Medicare Advantage HMO and PPO members now in effect (Medical)
  Posted: 12/30/2014 , Audience: P, F
- •
  Precertification requirement for non-emergent outpatient radiation therapy now in effect (Medical)
  Posted: 12/30/2014 , Audience: P, F
- •
  Our Quality Management Program promotes quality of careand service (Quality Management)
  Posted: 12/1/2014 , Audience: P, F, A
- •
  2014-2015 MemberWellness Guidelinesnow available (Quality Management)
  Posted: 12/1/2014 , Audience: P
- •
  Standards for medical recorddocumentation (Quality Management)
  Posted: 12/1/2014 , Audience: P
- •
  2014-2015 Clinical Practice Guideline Summarynow available (Quality Management)
  Posted: 12/1/2014 , Audience: P
- •
  Highlighting HEDIS^®: Follow-up care for childrenprescribed ADHD medication (Quality Management)
  Posted: 12/1/2014 , Audience: P
- •
  Changes to Medicare Advantage Addendum effectiveJanuary 1, 2015 (Administrative)
  Posted: 12/1/2014 , Audience: P, F, A
- •
  Reminder: New Preventive Plus benefit effectiveJanuary 1, 2015 (Administrative)
  Posted: 12/1/2014 , Audience: P, F, A
- •
  Stay informed during our transition to a new platform (Business Transformation)
  Posted: 12/1/2014 , Audience: P, F, A
- •
  Transitioning outstanding Accounts Receivable balancesto new platform (Billing & Reimbursement)
  Posted: 12/1/2014 , Audience: P, F
- •
  NaviNet^® changes scheduled for December 2014and early 2015 (NaviNet)
  Posted: 12/1/2014 , Audience: P, F, A
- •
  Professional Injectable and Vaccine Fee Schedule updateseffective January 1, 2015 (Billing & Reimbursement)
  Posted: 12/1/2014 , Audience: P, F, A
- •
  Reminder: Check member eligibility at every visit (Administrative)
  Posted: 12/1/2014 , Audience: P, F, A
- •
  ICD-10: What’s Up Wednesday and external testing with providers will resume in 2015 (ICD-10)
  Posted: 12/1/2014 , Audience: P, F, A
- •
  Presumptive and definitive drug testing (Medical)
  Posted: 12/1/2014 , Audience: P, F, A
- •
  Medical and claim payment policy activity postedOctober 25 – November 20, 2014 (Medical)
  Posted: 12/1/2014 , Audience: P, F, A
- •
  Mandatory specialty medication program will begin January 1, 2015 (Pharmacy)
  Posted: 12/1/2014 , Audience: P
- •
  Compound medication policy update (Pharmacy)
  Posted: 12/1/2014 , Audience: P
- •
  Referring members for laboratory services (Administrative)
  Posted: 12/1/2014 , Audience: P
- •
  Prescription drug updates (Pharmacy)
  Posted: 12/1/2014 , Audience: P, F, A
- •
  Upcoming policy on transcutaneous electrical nerve stimulators and associated supplies (Medical)
  Posted: 12/1/2014 , Audience: P, F, A
- •
  Nasonex^® to be removed from Select Drug Program^® Formulary (Pharmacy)
  Posted: 12/1/2014 , Audience: P
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 12/1/2014 , Audience: P, F, A
- •
  Reminder: Upcoming changes to precertification requirements for medical benefit drugs (Medical)
  Posted: 12/1/2014 , Audience: P
- •
  Important information on prescribed narcotic therapy (Pharmacy)
  Posted: 12/1/2014 , Audience: P
- •
  Reminder: Upcoming changes to our precertificationprocess for outpatient echocardiography services forMedicare Advantage HMO and PPO members (Medical)
  Posted: 12/1/2014 , Audience: P, F
- •
  Reminder: Precertification requirements for DME providersgo into effect January 1, 2015 (Medical)
  Posted: 12/1/2014 , Audience: A
- •
  Reminder: Precertification requirement for non-emergent outpatient radiation therapy starts January 1, 2015 (Medical)
  Posted: 12/1/2014 , Audience: P, F
- •
  The Fall 2014 edition of Inside IPP is now available (Administrative)
  Posted: 10/31/2014 , Audience: F, A
- •
  New benefit for preventive screening colonoscopy (Administrative)
  Posted: 10/31/2014 , Audience: P, F
- •
  Our policy on direct and/or indirect third-party payments (Billing & Reimbursement)
  Posted: 10/31/2014 , Audience: P, F, A
- •
  Independence offers services to help patients communicate (Administrative)
  Posted: 10/31/2014 , Audience: P, F, A
- •
  Health Coaches: Supporting your patients, our members (Health and Wellness)
  Posted: 10/31/2014 , Audience: P
- •
  Encourage pregnant Independence members to register for Baby BluePrints^® (Health and Wellness)
  Posted: 10/31/2014 , Audience: P
- •
  Reminder: Contraceptive coverage update for religious organizations (Administrative)
  Posted: 10/31/2014 , Audience: P
- •
  Member benefit changes and clarifications for commercial members (Products)
  Posted: 10/31/2014 , Audience: P, F, A
- •
  Select standard physician fee schedules available on NaviNet^® (Administrative)
  Posted: 10/31/2014 , Audience: P
- •
  What to expect if we request a credit balance report (Administrative)
  Posted: 10/31/2014 , Audience: F
- •
  Stay informed during our transition to a new platform (Business Transformation)
  Posted: 10/31/2014 , Audience: P, F, A
- •
  Policy reminder regarding utilization review decisions (Quality Management)
  Posted: 10/31/2014 , Audience: P
- •
  Independence Administrators claims appeal form now available (Administrative)
  Posted: 10/31/2014 , Audience: P, F
- •
  Highlighting HEDIS^®: Disease-modifying anti-rheumatic drug therapy for rheumatoid arthritis (Quality Management)
  Posted: 10/31/2014 , Audience: P
- •
  Improving lead testing among CHIP members (Health and Wellness)
  Posted: 10/31/2014 , Audience: P
- •
  Precertification requirements for outpatient services for FEP members (Medical)
  Posted: 10/31/2014 , Audience: P, F
- •
  Medical and claim payment policy activity posted from September 26 – October 24, 2014 (Medical)
  Posted: 10/31/2014 , Audience: P, F, A
- •
  Requesting prior authorization for direct ship oral medications (Pharmacy)
  Posted: 10/31/2014 , Audience: P
- •
  Smoking cessation resource now includes pediatric information (Health and Wellness)
  Posted: 10/31/2014 , Audience: P
- •
  Highlighting HEDIS^®: Use of imaging studies for low back pain (Quality Management)
  Posted: 10/1/2014 , Audience: P
- •
  Changes coming to out-of-pocket maximums for commercial HMO, POS, and PPO members (Administrative)
  Posted: 10/1/2014 , Audience: P, F, A
- •
  Encourage members to exercise to help reduce their risk of falling (Health and Wellness)
  Posted: 10/1/2014 , Audience: P
- •
  Changes to the QPM score program for measurement year 2014 (Quality Management)
  Posted: 10/1/2014 , Audience: P
- •
  Upcoming Medicare Advantage HMO and PPO benefits changes (Products)
  Posted: 10/1/2014 , Audience: P, F, A
- •
  Update on our Business Transformation (Business Transformation)
  Posted: 10/1/2014 , Audience: P, F, A
- •
  Medicare supplemental claim rejections (Billing & Reimbursement)
  Posted: 10/1/2014 , Audience: F
- •
  More changes coming in October to NaviNet^® (NaviNet)
  Posted: 10/1/2014 , Audience: P, F, A
- •
  New Care Cost Estimator tool available for migrated PPO and PHO members (Administrative)
  Posted: 10/1/2014 , Audience: P
- •
  Quality ranking for primary care offices (Quality Management)
  Posted: 10/1/2014 , Audience: P
- •
  Upcoming changes to precertification requirements (Medical)
  Posted: 10/1/2014 , Audience: P
- •
  Recent changes to our ePASS^® incentive opportunity for professional providers (Medical)
  Posted: 10/1/2014 , Audience: P
- •
  Reminder: Receiving infliximab (Remicade^®) in cost-effective settings (Medical)
  Posted: 10/1/2014 , Audience: P
- •
  Upcoming change to Multiple Procedure Payment Reduction guidelines for certain diagnostic services (Medical)
  Posted: 10/1/2014 , Audience: P
- •
  Upcoming changes to medical policies on spinal injections (Medical)
  Posted: 10/1/2014 , Audience: P, F, A
- •
  New Medicare Advantage HMO and PPO policy notifications now available (Medical)
  Posted: 10/1/2014 , Audience: P, F, A
- •
  Medical and claim payment policy activity posted from August 23 – September 25, 2014 (Medical)
  Posted: 10/1/2014 , Audience: P, F, A
- •
  New coverage criteria for repository corticotropin (H.P. Acthar^® Gel Injection) (Medical)
  Posted: 10/1/2014 , Audience: P
- •
  Important news about the annual Synagis^® (palivizumab) distribution program (Medical)
  Posted: 10/1/2014 , Audience: P
- •
  New precertification requirements for DME providers (Medical)
  Posted: 10/1/2014 , Audience: A
- •
  Upcoming changes to precertification requirements for outpatient radiation therapy (Medical)
  Posted: 10/1/2014 , Audience: P, F
- •
  Upcoming changes to our precertification process for outpatient echocardiography services for Medicare Advantage HMO and PPO members (Medical)
  Posted: 10/1/2014 , Audience: P, F
- •
  Updated Provider and Hospital Manuals now available (Administrative)
  Posted: 9/24/2014 , Audience: P
- •
  The Summer 2014 edition of Inside IPP is now available (Administrative)
  Posted: 8/28/2014 , Audience: F, A
- •
  Medicare Advantage HMO and PPO policies and clinical relationship logic to undergo changes (Medical)
  Posted: 8/28/2014 , Audience: P, F, A
- •
  Highlighting HEDIS^®: Persistence of beta-blocker treatment after a heart attack (Quality Management)
  Posted: 8/28/2014 , Audience: P
- •
  Update your provider information with us (Administrative)
  Posted: 8/28/2014 , Audience: P, F, A
- •
  Reminder: Change to our outpatient laboratory network now in effect (Administrative)
  Posted: 8/28/2014 , Audience: P, F, A
- •
  Use of new CMS-1500 (02/12) claim form required (Billing & Reimbursement)
  Posted: 8/28/2014 , Audience: P, A
- •
  Reminder: Benefit tier re-evaluation for Keystone HMO Proactive (Products)
  Posted: 8/28/2014 , Audience: P, F, A
- •
  ICD-10 final rule released: October 1, 2015, is the new compliance deadline (ICD-10)
  Posted: 8/28/2014 , Audience: P, F, A
- •
  New QIO program contractor (Administrative)
  Posted: 8/28/2014 , Audience: P, F, A
- •
  Reminder: Check member eligibility at every visit (Administrative)
  Posted: 8/28/2014 , Audience: P, F, A
- •
  Stay informed during our transition to the new platform (Business Transformation)
  Posted: 8/28/2014 , Audience: P, F, A
- •
  Professional Injectable and Vaccine Fee Schedule updates effective October 1, 2014 (Billing & Reimbursement)
  Posted: 8/28/2014 , Audience: P, F, A
- •
  Billing requirements for anesthesia claims (Billing & Reimbursement)
  Posted: 8/28/2014 , Audience: P
- •
  Prescription drug updates (Pharmacy)
  Posted: 8/28/2014 , Audience: P, F, A
- •
  Medical and claim payment policy activity posted from July 26 – August 22, 2014 (Medical)
  Posted: 8/28/2014 , Audience: P, F, A
- •
  Clarification of Medical Foods policy (Medical)
  Posted: 8/28/2014 , Audience: P
- •
  Choosing a safe, cost-effective setting for injectable and infusion therapy drugs (Medical)
  Posted: 8/28/2014 , Audience: P, F, A
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 8/28/2014 , Audience: P, F, A
- •
  Nexium^® to be removed from Select Drug Program^® Formulary (Pharmacy)
  Posted: 8/28/2014 , Audience: P
- •
  Annual Synagis^® (palivizumab) distribution program approaches (Medical)
  Posted: 8/28/2014 , Audience: P
- •
  IBX Wire to include new gap-in-care messages (Administrative)
  Posted: 7/31/2014 , Audience: P
- •
  Reminder: Provider financial responsibility for preapproval of inpatient facility services for out-of-area members (Administrative)
  Posted: 7/31/2014 , Audience: F
- •
  Pre-service review for out-of-area members will be made available through NaviNet^® (NaviNet)
  Posted: 7/31/2014 , Audience: P, F
- •
  Upcoming changes to IBC’s post-service appeals and grievance processes (Billing & Reimbursement)
  Posted: 7/31/2014 , Audience: P
- •
  Highlighting HEDIS^®: Colorectal cancer screening (Quality Management)
  Posted: 7/31/2014 , Audience: P
- •
  Coding guidelines for spinal fusion procedures (Billing & Reimbursement)
  Posted: 7/31/2014 , Audience: F
- •
  Ensure successful submission of CMS-1500 claim forms and an updated toolkit now available (Billing & Reimbursement)
  Posted: 7/31/2014 , Audience: P, A
- •
  Health Coaches: Supporting your patients, our members (Health and Wellness)
  Posted: 7/31/2014 , Audience: P
- •
  Reminder: Upcoming changes to Medicare Advantage HMOand PPO policies and clinical relationship logic (Medical)
  Posted: 7/31/2014 , Audience: P, F, A
- •
  Pilot programs available to select patients likely to be hospitalized (Health and Wellness)
  Posted: 7/31/2014 , Audience: P
- •
  Encourage pregnant IBC members to register for Baby BluePrints^® (Health and Wellness)
  Posted: 7/31/2014 , Audience: P
- •
  Stay informed during our transition to the new platform (Business Transformation)
  Posted: 7/31/2014 , Audience: P, F, A
- •
  Reminder: Participating providers must submit all claims for IBC members to IBC (Billing & Reimbursement)
  Posted: 7/31/2014 , Audience: P, F
- •
  Reminder: Change to IBC’s outpatient laboratory network now in effect (Administrative)
  Posted: 7/31/2014 , Audience: P, F, A
- •
  New Allowance Inquiry transaction coming to NaviNet^® this fall (NaviNet)
  Posted: 7/31/2014 , Audience: P, F, A
- •
  Benefit tier re-evaluation for Keystone HMO Proactive (Products)
  Posted: 7/31/2014 , Audience: P
- •
  Get up-to-date news and information at ourProvider News Center (Administrative)
  Posted: 7/31/2014 , Audience: P, F, A
- •
  Reminder: Out-of-pocket maximums for commercial HMO, POS, and PPO members (Administrative)
  Posted: 7/31/2014 , Audience: P, F, A
- •
  Reminder: 90-day grace period for APTC members (Billing & Reimbursement)
  Posted: 7/31/2014 , Audience: P, F, A
- •
  Medical and claim payment policy activity posted from June 25 – July 25, 2014 (Medical)
  Posted: 7/31/2014 , Audience: P, F, A
- •
  Reminder: Contraceptive coverage update for religious organizations (Administrative)
  Posted: 7/1/2014 , Audience: P
- •
  Check member ID cards at every visit (Administrative)
  Posted: 7/1/2014 , Audience: P, F, A
- •
  Help your patients to be active so they stay healthy (Health and Wellness)
  Posted: 7/1/2014 , Audience: P
- •
  Change to IBC’s outpatient laboratory network effective July 1 (Administrative)
  Posted: 7/1/2014 , Audience: P, F, A
- •
  HIPPS codes requirement for certain SNF and HHA claims/encounters (Billing & Reimbursement)
  Posted: 7/1/2014 , Audience: F, A
- •
  Highlighting HEDIS^®: Use of spirometry testing in theassessment and diagnosis of COPD (Quality Management)
  Posted: 7/1/2014 , Audience: P
- •
  IBC’s Medicare utilization remains within or above national standards (Quality Management)
  Posted: 7/1/2014 , Audience: P
- •
  Ensure successful electronic claims submissions (Billing & Reimbursement)
  Posted: 7/1/2014 , Audience: P, F, A
- •
  Changes to NaviNet^® coming in July and October (NaviNet)
  Posted: 7/1/2014 , Audience: P, F, A
- •
  Upcoming changes to Medicare Advantage policies and clinical relationship logic (Medical)
  Posted: 7/1/2014 , Audience: P, F, A
- •
  Referring members for genetic testing (Medical)
  Posted: 7/1/2014 , Audience: P, F, A
- •
  Revision to draft Medical Policy #02.01.01c: Home Health Care Services (Medical)
  Posted: 7/1/2014 , Audience: P, A
- •
  Cost-effective treatment options for infliximab (Remicade^®) (Medical)
  Posted: 7/1/2014 , Audience: P
- •
  Medical and claim payment policy activity posted from May 26 – June 24, 2014 (Medical)
  Posted: 7/1/2014 , Audience: P, F, A
- •
  Referrals are required for specialty care for HMO/POS members (Administrative)
  Posted: 7/1/2014 , Audience: P
- •
  Stay informed during our transition to the new platform (Business Transformation)
  Posted: 7/1/2014 , Audience: P, F, A
- •
  Participating providers must submit all claims for IBC members to IBC (Billing & Reimbursement)
  Posted: 7/1/2014 , Audience: P, F
- •
  Request your office supplies online (Administrative)
  Posted: 7/1/2014 , Audience: P, F, A
- •
  Alcohol screening resource now includes pediatric information (Health and Wellness)
  Posted: 7/1/2014 , Audience: P
- •
  Change to IBC’s outpatient laboratory network effective July 1 (Administrative)
  Posted: 6/25/2014 , Audience: P
- •
  Misleading information being communicated about member cost-sharing with Quest Diagnostics^® (Administrative)
  Posted: 6/17/2014 , Audience: P
- •
  Participate in 30-minute call/webinar for LabCorp Beacon^® (Administrative)
  Posted: 6/10/2014 , Audience: P
- •
  Urgent care centers and retail health clinics are alternatives to the ER when physicians are unavailable (Administrative)
  Posted: 5/30/2014 , Audience: P, F
- •
  Prescription drug updates (Pharmacy)
  Posted: 5/30/2014 , Audience: P, F, A
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 5/30/2014 , Audience: P, F, A
- •
  Medical and claim payment policy activity posted from April 26 – May 25, 2014 (Medical)
  Posted: 5/30/2014 , Audience: P, F, A
- •
  Interpreting your PCP payments via EFT (NaviNet)
  Posted: 5/30/2014 , Audience: P
- •
  Upcoming changes to billing requirements (Billing & Reimbursement)
  Posted: 5/30/2014 , Audience: P, F, A
- •
  Reminder: Out-of-pocket maximums for commercial HMO, POS, and PPO members (Administrative)
  Posted: 5/30/2014 , Audience: P, F, A
- •
  New NCQA 2014 PCMH Guidelines (Administrative)
  Posted: 5/30/2014 , Audience: P
- •
  Professional Injectable and Vaccine Fee Schedule updates effective July 1, 2014 (Billing & Reimbursement)
  Posted: 5/30/2014 , Audience: P, F, A
- •
  Highlighting HEDIS^®: Controlling high blood pressure (Quality Management)
  Posted: 5/30/2014 , Audience: P
- •
  Reminder: 90-day grace period for APTC members (Billing & Reimbursement)
  Posted: 5/30/2014 , Audience: P, F, A
- •
  Stay informed during our transition to the new platform (Business Transformation)
  Posted: 5/30/2014 , Audience: P, F, A
- •
  Establishing your electronic interfaces with LabCorp (Administrative)
  Posted: 5/30/2014 , Audience: P
- •
  Electronic claim resubmission requirements (Billing & Reimbursement)
  Posted: 5/30/2014 , Audience: P, F, A
- •
  Sign up to receive IBC news and announcements via email (Administrative)
  Posted: 5/30/2014 , Audience: P, F, A
- •
  Guidelines for billing with taxonomy codes (Billing & Reimbursement)
  Posted: 5/30/2014 , Audience: P, F, A
- •
  Participate in a 30-minute conference call and webinar for LabCorp Beacon^® (Administrative)
  Posted: 5/5/2014 , Audience: P
- •
  Provider financial responsibility for preapproval of inpatient facility services for out-of-area members (Administrative)
  Posted: 5/1/2014 , Audience: F
- •
  Spring 2014 edition of Inside IPP now available (Administrative)
  Posted: 5/1/2014 , Audience: F, A
- •
  Changes to our ePASS^® incentive opportunity for professional providers (Medical)
  Posted: 5/1/2014 , Audience: P
- •
  Patient access for laboratory services and new LabCorp PSCs (Medical)
  Posted: 5/1/2014 , Audience: P
- •
  Policy updates regarding face-to-face encounter requirements (Medical)
  Posted: 5/1/2014 , Audience: P, A
- •
  Medical and claim payment policy activity posted from March 26 – April 25, 2014 (Medical)
  Posted: 5/1/2014 , Audience: P, F, A
- •
  Changes to our precertification process for outpatient echocardiography services now in effect (Medical)
  Posted: 5/1/2014 , Audience: P, F
- •
  Encourage pregnant IBC members to register for Baby BluePrints^® (Health and Wellness)
  Posted: 5/1/2014 , Audience: P
- •
  Highlighting HEDIS^®: Avoidance of antibiotic treatment in adults with AAB and appropriate treatment for children with URI (Quality Management)
  Posted: 5/1/2014 , Audience: P
- •
  Positive results in IBC’s 2013 Provider Satisfaction Survey (Quality Management)
  Posted: 5/1/2014 , Audience: P
- •
  May is Mental Health Awareness Month (Health and Wellness)
  Posted: 5/1/2014 , Audience: P
- •
  An updated Provider Manual now available (Administrative)
  Posted: 5/1/2014 , Audience: P
- •
  Encourage patients to personalize their fitness plan (Health and Wellness)
  Posted: 5/1/2014 , Audience: P
- •
  Tips for submitting claims using the new CMS-1500 (02/12) claim form (Billing & Reimbursement)
  Posted: 5/1/2014 , Audience: P, A
- •
  Reminder: Contraceptive coverage update for religious organizations (Administrative)
  Posted: 5/1/2014 , Audience: P
- •
  CFID fights fraud, waste, and abuse (Administrative)
  Posted: 5/1/2014 , Audience: P, F, A
- •
  Find your benefit tier assignment for Keystone HMO Proactive (NaviNet)
  Posted: 5/1/2014 , Audience: P, F, A
- •
  Stay informed during our transition to the new platform (Business Transformation)
  Posted: 5/1/2014 , Audience: P, F, A
- •
  Conversion to ICD-10 delayed at least one year (ICD-10)
  Posted: 5/1/2014 , Audience: P, F, A
- •
  Updated payer ID grids now available (Billing & Reimbursement)
  Posted: 5/1/2014 , Audience: P, F, A
- •
  Complete the Lab Connectivity Survey (Administrative)
  Posted: 4/30/2014 , Audience: P
- •
  Update your provider information with us (Administrative)
  Posted: 4/24/2014 , Audience: P, F, A
- •
  An updated Provider Manual now available (Administrative)
  Posted: 4/21/2014 , Audience: P
- •
  Dial in to the What's Up Wednesday teleconference on April 16 (ICD-10)
  Posted: 4/16/2014 , Audience: P, F, A
- •
  IBC and DaVita HealthCare Partners announce joint venture (Administrative)
  Posted: 4/8/2014 , Audience: P, F, A
- •
  Registration ends today for Session 2 of the QIPS High-Performing Practice Summit (Quality Management)
  Posted: 4/1/2014 , Audience: P
- •
  Medical policy changes for rheumatoid arthritis drugs for commercial members (Medical)
  Posted: 3/31/2014 , Audience: P
- •
  Medical and claim payment policy activity posted from February 26 – March 25, 2014 (Medical)
  Posted: 3/31/2014 , Audience: P, F, A
- •
  Stay informed during our transition to the new platform (Business Transformation)
  Posted: 3/31/2014 , Audience: P, F, A
- •
  Use of new CMS-1500 (02/12) claim form now required (Billing & Reimbursement)
  Posted: 3/31/2014 , Audience: P, A
- •
  Health Coaches: Supporting your patients, our members (Health and Wellness)
  Posted: 3/31/2014 , Audience: P
- •
  QIPS High-Performing Practice Summit (Quality Management)
  Posted: 3/31/2014 , Audience: P
- •
  Availability of Clinical Alerts, Clinical Care Reports, and the APTC indicator on NaviNet (NaviNet)
  Posted: 3/31/2014 , Audience: P, F, A
- •
  Reminder: Out-of-pocket maximums for commercial HMO, POS, and PPO members began January 1, 2014 (Administrative)
  Posted: 3/31/2014 , Audience: P, F, A
- •
  Positive changes to the IBC standard fee schedule for certain professional providers (Billing & Reimbursement)
  Posted: 3/31/2014 , Audience: P
- •
  FAQ available for upcoming change to IBC outpatient laboratory network (Administrative)
  Posted: 3/31/2014 , Audience: P, F, A
- •
  Visit the Provider News Center (Administrative)
  Posted: 3/31/2014 , Audience: P, F, A
- •
  Dial in for What's Up Wednesday (ICD-10)
  Posted: 3/31/2014 , Audience: P, F, A
- •
  Highlighting HEDIS^®: Adult BMI Assessment (Quality Management)
  Posted: 3/31/2014 , Audience: P
- •
  FAQ now available for upcoming change to IBC's laboratory network (Administrative)
  Posted: 3/20/2014 , Audience: P, F, A
- •
  Registration extended: Register now for the QIPS High-Performing Office Summit (Quality Management)
  Posted: 3/17/2014 , Audience: P
- •
  New resource dedicated to IBC’s selection of LabCorp as our exclusive national outpatient lab provider (Administrative)
  Posted: 3/5/2014 , Audience: P, F, A
- •
  Documentation requirements for DME services (Medical)
  Posted: 2/28/2014 , Audience: P, A
- •
  Generic drugs available for the treatment of osteoporosis (Pharmacy)
  Posted: 2/28/2014 , Audience: P
- •
  Prescription drug updates (Pharmacy)
  Posted: 2/28/2014 , Audience: P, F, A
- •
  Medical and claim payment policy activity posted from January 26 – February 25, 2014 (Medical)
  Posted: 2/28/2014 , Audience: P, F, A
- •
  QIPS High-Performing Office Summit (Quality Management)
  Posted: 2/28/2014 , Audience: P
- •
  Select Drug Program^® Formulary updates (NaviNet)
  Posted: 2/28/2014 , Audience: P, F, A
- •
  Key changes to CMS-1500 claim form and updated toolkit now available (Billing & Reimbursement)
  Posted: 2/28/2014 , Audience: P, A
- •
  Request your office supplies online (Administrative)
  Posted: 2/28/2014 , Audience: P, F, A
- •
  Reminder: Contraceptive coverage update for religious organizations (Administrative)
  Posted: 2/28/2014 , Audience: P
- •
  Introducing Highlighting HEDIS^® (Quality Management)
  Posted: 2/28/2014 , Audience: P
- •
  Dial in for What's Up Wednesday (ICD-10)
  Posted: 2/28/2014 , Audience: P, F, A
- •
  Encourage your patients to be active to stay healthy (Health and Wellness)
  Posted: 2/28/2014 , Audience: P
- •
  Reminder: 90-day grace period now in effect (Billing & Reimbursement)
  Posted: 2/28/2014 , Audience: P, F, A
- •
  LabCorp named IBC’s exclusive national outpatient laboratory provider (Administrative)
  Posted: 2/28/2014 , Audience: P, F, A
- •
  Stay informed during our transition to the new platform (Business Transformation)
  Posted: 2/28/2014 , Audience: P, F, A
- •
  New health risk screening tool for Medicare Advantage HMO and PPO members (Health and Wellness)
  Posted: 2/28/2014 , Audience: P
- •
  Helping providers identify patients likely to be hospitalized (Health and Wellness)
  Posted: 2/28/2014 , Audience: P
- •
  Reminder: Use a valid NPI for all claims (Billing & Reimbursement)
  Posted: 2/28/2014 , Audience: P, F, A
- •
  Professional Injectable and Vaccine Fee Schedule updates effective April 1, 2014 (Billing & Reimbursement)
  Posted: 2/28/2014 , Audience: P, F, A
- •
  Additional information now available for medical and claim payment policies (Medical)
  Posted: 2/26/2014 , Audience: P, F, A
- •
  Dial in to the What's Up Wednesday teleconference on February 19 (ICD-10)
  Posted: 2/11/2014 , Audience: P, F, A
- •
  Important announcement about providing care during the emergency declaration in parts of Pennsylvania (Administrative)
  Posted: 2/7/2014 , Audience: P
- •
  Medical and claim payment policy activity posted as of January 25, 2014 (Medical)
  Posted: 1/31/2014 , Audience: P, F, A
- •
  Specialists needed to assist in developing medical policies (Medical)
  Posted: 1/31/2014 , Audience: P
- •
  Upcoming changes to our precertification process for outpatient echocardiography services (Medical)
  Posted: 1/31/2014 , Audience: P, F
- •
  Improving lead testing among CHIP members (Health and Wellness)
  Posted: 1/31/2014 , Audience: P
- •
  Reminder: Out-of-pocket maximums for commercial HMO, POS, and PPO members beginning January 1, 2014 (Administrative)
  Posted: 1/31/2014 , Audience: P, F, A
- •
  Risk adjustment: Why improving coding accuracy matters more now (Administrative)
  Posted: 1/31/2014 , Audience: P, F
- •
  90-day Grace Period now in effect (Billing & Reimbursement)
  Posted: 1/31/2014 , Audience: P, F, A
- •
  New High Value Care website available from the American College of Physicians (Quality Management)
  Posted: 1/31/2014 , Audience: P
- •
  Encourage pregnant IBC members to register for Baby BluePrints^® (Health and Wellness)
  Posted: 1/31/2014 , Audience: P
- •
  Recent NaviNet changes and new user guides/webinars available (NaviNet)
  Posted: 1/31/2014 , Audience: P, F, A
- •
  Stay informed during our transition to the new platform (Business Transformation)
  Posted: 1/31/2014 , Audience: P, F, A
- •
  QPM score program for measurement year 2013 phase two responses due February 3 (Quality Management)
  Posted: 1/28/2014 , Audience: P, F, A
- •
  Certified Registered Nurse Practitioners may apply for credentialing for our PCP network (Administrative)
  Posted: 1/9/2014 , Audience: P
- •
  Winter 2013 edition of Inside IPP now available (Administrative)
  Posted: 1/9/2014 , Audience: F, A
- •
  Updated policy for interstitial continuous glucose monitoring systems (Medical)
  Posted: 1/9/2014 , Audience: P, A
- •
  Download the latest precertification requirement list (Medical)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  Policy notifications posted as of December 30, 2013 (Medical)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  IBC and Health Care Reform (Administrative)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  Updated NaviNet transactions for QIPS-participatingproviders (NaviNet)
  Posted: 1/9/2014 , Audience: P
- •
  Cost-sharing for Keystone HMO Proactive members (Products)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  Putting ICD-10 into Practice: Correction to October 2013 coding exercises (ICD-10)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  New article series to help providers prepare for October 2014 ICD-10 deadline (ICD-10)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  Use a valid NPI for all claims (Billing & Reimbursement)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  Provider Automated System not available for migrated members (Administrative)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  Re-issue of member ID cards for migrated members (Administrative)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  Update on our Business Transformation (Business Transformation)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  2013 Cumulative Index now available (Administrative)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  Cervical cancer screening guidelines (Quality Management)
  Posted: 1/9/2014 , Audience: P
- •
  Updated payer ID grids now available (Billing & Reimbursement)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  Out-of-pocket maximums for commercial HMO, POS, and PPO members beginning January 1, 2014 (Administrative)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  Discuss routine preventive immunizations with your patients at their wellness visits (Health and Wellness)
  Posted: 1/9/2014 , Audience: P
- •
  Important information about Medicare-eligible members (Administrative)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  Reminder: Contraceptive coverage update for religious organizations (Administrative)
  Posted: 1/9/2014 , Audience: P
- •
  Health Coaches: Supporting your patients, our members (Health and Wellness)
  Posted: 1/9/2014 , Audience: P
- •
  Keystone Direct POS: Offering members more direct access to participating specialists (Administrative)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  Medicare Advantage HMO and PPO benefit changes now in effect (Products)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  Reminder: Keystone HMO Proactive coverage starting in 2014 (Products)
  Posted: 1/3/2014 , Audience: P, F, A
- •
  Reminder: Enforcement of industry standards related to platform transition (Billing & Reimbursement)
  Posted: 1/3/2014 , Audience: P, F, A
- •
  Reminder: Verify member cost-sharing at the time of service (Administrative)
  Posted: 1/3/2014 , Audience: P, F, A
- •
  Reminder: Provider Automated System not available for migrated members (Administrative)
  Posted: 1/3/2014 , Audience: P, F, A
Blue
2013 Updates
- •
  What’s Up Wednesday: December 18 call is canceled (ICD-10)
  Posted: 12/11/2013 , Audience: P, F, A
- •
  Updated Claims Preprocessing Edits and Claims Resolution Document now available (Billing & Reimbursement)
  Posted: 12/2/2013 , Audience: P
- •
  What’s Up Wednesday (ICD-10)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  New NaviNet^® functionality for ePayment, Cap/QIPS Rosters, and other transactions (NaviNet)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  Putting ICD-10 into Practice: Coding exercises and scenarios (ICD-10)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  Keystone HMO Proactive coverage starting in 2014 (Products)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  Enforcement of industry standards related to platform transition (Billing & Reimbursement)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  Standards for medical record documentation (Quality Management)
  Posted: 12/2/2013 , Audience: P
- •
  Stay informed during our transition to a new operating platform (Business Transformation)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  Stay connected: New features available on IBX App (Administrative)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  Verify member cost-sharing at the time of service (Administrative)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  Medically Unlikely Edits now applied to professional and facility claims (Billing & Reimbursement)
  Posted: 12/2/2013 , Audience: P, F
- •
  Change in reimbursement display for multiple outpatient surgical procedures (Billing & Reimbursement)
  Posted: 12/2/2013 , Audience: F
- •
  New payment option for migrated members with spending accounts (Administrative)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  Help your older adult patients understand the connections among depression, sleep, and exercise (Health and Wellness)
  Posted: 12/2/2013 , Audience: P
- •
  IBC services help patients communicate (Administrative)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  Professional Injectable and Vaccine Fee Schedule updates effective January 1, 2014 (Billing & Reimbursement)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  Our Quality Management Program promotes quality of care and service (Quality Management)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  Contraceptive coverage update for religious organizations (Administrative)
  Posted: 12/2/2013 , Audience: P
- •
  Revised time line for new CMS-1500 (02/12) claim form (Billing & Reimbursement)
  Posted: 12/2/2013 , Audience: P
- •
  Prescription drug updates (Pharmacy)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  Coverage for certain surgical procedures (Medical)
  Posted: 12/2/2013 , Audience: P, F
- •
  Reminder: Updates to precertification requirements effective January 1, 2014 (Medical)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  Policy notifications posted as of November 25, 2013 (Medical)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  New FutureScripts^® Preferred Pharmacy Network (Pharmacy)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  Coverage for injectable drugs that reduce the risk of preterm birth (Medical)
  Posted: 12/2/2013 , Audience: P
- •
  Changes to sleep study precertification requirements for Medicare Advantage HMO and PPO members (Medical)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  Provider Automated System not available for migrated members (Administrative)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  IBC expands options for individuals to simplify enrollment and avoid gaps in coverage (Administrative)
  Posted: 11/27/2013 , Audience: P, F, A
- •
  Updated: Referral submission and inquiry capability (Business Transformation)
  Posted: 11/20/2013 , Audience: P, F, A
- •
  Updated: Important information regarding Authorization Submission and Inquiry (NaviNet)
  Posted: 11/6/2013 , Audience: P
- •
  Updated: Important information regarding the Eligibility and Benefits Inquiry transaction (NaviNet)
  Posted: 11/5/2013 , Audience: P, F, A
- •
  Important information regarding Medical/Surgical and Chemotherapy/Infusion Authorization requests (NaviNet)
  Posted: 11/4/2013 , Audience: P, F, A
- •
  Important information regarding the Eligibility and Benefits Inquiry transaction (NaviNet)
  Posted: 11/4/2013 , Audience: P, F, A
- •
  Updated: Important information regarding updates to referral submission and inquiry capability (Please read entire message) (NaviNet)
  Posted: 11/4/2013 , Audience: P, F, A
- •
  Updated: Important information regarding updates to referral submission and inquiry capability (NaviNet)
  Posted: 11/1/2013 , Audience: P, F, A
- •
  New provider resource for Keystone HMO Proactive (Products)
  Posted: 11/1/2013 , Audience: P, F, A
- •
  Guides available for new Provider EOB and Provider Remittance (Billing & Reimbursement)
  Posted: 11/1/2013 , Audience: P, F, A
- •
  New alpha prefixes for some migrated members and updated payer ID grids (Billing & Reimbursement)
  Posted: 11/1/2013 , Audience: P, F, A
- •
  Recent updates to our Provider and Hospital Manuals (Administrative)
  Posted: 11/1/2013 , Audience: P, F, A
- •
  Visit the Provider News Center (Administrative)
  Posted: 11/1/2013 , Audience: P, F, A
- •
  New NaviNet^® transaction for EOB and Remittance Inquiry and other changes coming soon (NaviNet)
  Posted: 11/1/2013 , Audience: P, F, A
- •
  Updates to our Healthy Lifestyles^SM programs (Health and Wellness)
  Posted: 11/1/2013 , Audience: P
- •
  IBC members can save up to $650 on cord blood collection and storage (Health and Wellness)
  Posted: 11/1/2013 , Audience: P
- •
  Encourage pregnant IBC members to register for Baby BluePrints^® (Health and Wellness)
  Posted: 11/1/2013 , Audience: P
- •
  Changes to 835 transactions in dual claims-processing environment (Billing & Reimbursement)
  Posted: 11/1/2013 , Audience: P, F, A
- •
  Putting ICD-10 into Practice: Coding exercises and scenarios (ICD-10)
  Posted: 11/1/2013 , Audience: P, F, A
- •
  Reminder: Retirement of the Provider Automated System (Administrative)
  Posted: 11/1/2013 , Audience: P, F, A
- •
  2013-2014 Member Wellness Guidelines now available (Quality Management)
  Posted: 11/1/2013 , Audience: P
- •
  What’s Up Wednesday (ICD-10)
  Posted: 11/1/2013 , Audience: P, F, A
- •
  Improved processes for identifying members subject to COB provisions and/or benefits exclusions (Billing & Reimbursement)
  Posted: 11/1/2013 , Audience: P, F, A
- •
  Stay informed during our transition to a new operating platform (Business Transformation)
  Posted: 11/1/2013 , Audience: P, F, A
- •
  Policy reminder regarding utilization review decisions (Quality Management)
  Posted: 11/1/2013 , Audience: P
- •
  2013-2014 Clinical Practice Guideline Summary now available (Quality Management)
  Posted: 11/1/2013 , Audience: P
- •
  Detailed information available through new Find a Doctor features (Administrative)
  Posted: 11/1/2013 , Audience: P, F, A
- •
  Member benefits changes and clarifications for commercial members (Products)
  Posted: 11/1/2013 , Audience: P, F, A
- •
  Policy notifications posted as of October 30, 2013 (Medical)
  Posted: 11/1/2013 , Audience: P, F, A
- •
  BriovaRx^TM selected as exclusive specialty pharmacy provider for prescription drug benefit (Medical)
  Posted: 11/1/2013 , Audience: P, F, A
- •
  Updated: Important information regarding the referral transaction on NaviNet^® (NaviNet)
  Posted: 10/30/2013 , Audience: P, F, A
- •
  Important information regarding the referral transaction on NaviNet^® (NaviNet)
  Posted: 10/29/2013 , Audience: P, F, A
- •
  New user guide and webinar available for referral transactions (Business Transformation)
  Posted: 10/23/2013 , Audience: P, F, A
- •
  New provider resource for Keystone HMO Proactive (Products)
  Posted: 10/18/2013 , Audience: P, F, A
- •
  NaviNet^® transactions changes now implemented (NaviNet)
  Posted: 10/14/2013 , Audience: P, F, A
- •
  Delayed: NaviNet^® transactions changes (NaviNet)
  Posted: 10/7/2013 , Audience: P, F, A
- •
  What’s Up Wednesday (ICD-10)
  Posted: 10/2/2013 , Audience: P, F, A
- •
  Stay informed during our transition to a new operating platform (Business Transformation)
  Posted: 10/2/2013 , Audience: P, F, A
- •
  New features available in the Find a Doctor tool on ibx.com (Administrative)
  Posted: 10/2/2013 , Audience: P, F, A
- •
  Updated CMS-1500 claim form effective January 6, 2014 (Billing & Reimbursement)
  Posted: 10/2/2013 , Audience: P
- •
  Changes to NaviNet authorization and referral transactions coming this month (NaviNet)
  Posted: 10/2/2013 , Audience: P, F, A
- •
  New member ID cards and submitting claims for members migrated to the new platform (Billing & Reimbursement)
  Posted: 10/2/2013 , Audience: P, F, A
- •
  Health Coaches: Supporting your patients, our members (Health and Wellness)
  Posted: 10/2/2013 , Audience: P
- •
  Help your Medicare Advantage HMO and PPO patients prepare for a hospital discharge (Health and Wellness)
  Posted: 10/2/2013 , Audience: P, F
- •
  The importance of lead screening and lead safety (Health and Wellness)
  Posted: 10/2/2013 , Audience: P
- •
  Quality ranking for primary care physician offices (Quality Management)
  Posted: 10/2/2013 , Audience: P
- •
  Upcoming Medicare Advantage HMO and PPO benefits changes (Products)
  Posted: 10/2/2013 , Audience: P, F, A
- •
  Upcoming changes to mom/baby claims submission process (Billing & Reimbursement)
  Posted: 10/2/2013 , Audience: F
- •
  Sign up to receive IBC news and announcements via email (Administrative)
  Posted: 10/2/2013 , Audience: P, F, A
- •
  Electronic submission of clinical information for procedures that require precertification (Administrative)
  Posted: 10/2/2013 , Audience: P
- •
  SOR changes for members migrated to the new platform (Products)
  Posted: 10/2/2013 , Audience: P, F, A
- •
  Putting ICD-10 into Practice: Coding exercises and scenarios (Specialty focus: Immune Deficiencies and Disorders) (ICD-10)
  Posted: 10/2/2013 , Audience: P, F, A
- •
  Policy notifications posted as of September 27, 2013 (Medical)
  Posted: 10/2/2013 , Audience: P, F, A
- •
  Updates to precertification requirements effective January 1, 2014 (Medical)
  Posted: 10/2/2013 , Audience: P, F, A
- •
  Changes to medical policy for self-injectable drugs (Medical)
  Posted: 10/2/2013 , Audience: P
- •
  Annual Synagis^® (palivizumab) distribution program (Medical)
  Posted: 10/2/2013 , Audience: P
- •
  A series of new webinars and user guides are available to help your office prepare for ongoing NaviNet changes (NaviNet)
  Posted: 9/26/2013 , Audience: P, F, A
- •
  Review new user guides for September 27, 2013 transaction changes (NaviNet)
  Posted: 9/20/2013 , Audience: P, F, A
- •
  What’s Up Wednesday (ICD-10)
  Posted: 8/29/2013 , Audience: P, F, A
- •
  Reminder: Retirement of the Provider Automated System (Administrative)
  Posted: 8/29/2013 , Audience: P, F, A
- •
  Update your provider information with us (Administrative)
  Posted: 8/29/2013 , Audience: P, F, A
- •
  Stay informed during our transition to a new operating platform (Business Transformation)
  Posted: 8/29/2013 , Audience: P, F, A
- •
  New NaviNet^® user guides available soon (NaviNet)
  Posted: 8/29/2013 , Audience: P, F, A
- •
  Improve your patients' well-being with SilverSneakers^® (Health and Wellness)
  Posted: 8/29/2013 , Audience: P
- •
  Bill Type 33X to be discontinued (Billing & Reimbursement)
  Posted: 8/29/2013 , Audience: A
- •
  Professional Injectable and Vaccine Fee Schedule updates effective October 1, 2013 (Billing & Reimbursement)
  Posted: 8/29/2013 , Audience: P, F, A
- •
  Fractures are high-risk indicators for future fractures (Health and Wellness)
  Posted: 8/29/2013 , Audience: P
- •
  Putting ICD-10 into Practice: Coding exercises and scenarios (ICD-10)
  Posted: 8/29/2013 , Audience: P, F, A
- •
  Provide Medicare Advantage HMO and PPO members notice of noncovered/excluded services and member payment responsibility (Medical)
  Posted: 8/29/2013 , Audience: P, F, A
- •
  Policy notifications posted as of August 29, 2013 (Medical)
  Posted: 8/29/2013 , Audience: P, F, A
- •
  Reminder: ProAir^® HFA to become the only preferred brand of rescue inhaler for commercial members (Pharmacy)
  Posted: 8/29/2013 , Audience: P
- •
  Prescription drug updates (Pharmacy)
  Posted: 8/29/2013 , Audience: P, F, A
- •
  Select Drug Program ^® Formulary updates (Pharmacy)
  Posted: 8/29/2013 , Audience: P, F, A
- •
  Annual Synagis^® (palivizumab) distribution program (Medical)
  Posted: 8/29/2013 , Audience: P
- •
  Changes to sleep study precertification requirements now in effect (Medical)
  Posted: 8/29/2013 , Audience: P, F, A
- •
  Coverage of Influenza Vaccine for 2013-2014 (Medical)
  Posted: 8/13/2013 , Audience: P, F, A
- •
  Visit the Provider News Center (Administrative)
  Posted: 8/1/2013 , Audience: P, F, A
- •
  ProAir HFA to become the only preferred brand of rescue inhaler for commercial members (Pharmacy)
  Posted: 8/1/2013 , Audience: P
- •
  Policy notifications posted as of July 31, 2013 (Medical)
  Posted: 8/1/2013 , Audience: P, F, A
- •
  Upcoming changes to the enforcement of medical and claim payment policy (Medical)
  Posted: 8/1/2013 , Audience: P, A
- •
  Putting ICD-10 into Practice: Coding exercises and scenarios (Exercise/Scenario #8) (ICD-10)
  Posted: 8/1/2013 , Audience: P, F, A
- •
  Identifying services that require preapproval/precertification (Administrative)
  Posted: 8/1/2013 , Audience: P, F, A
- •
  Upcoming NaviNet^® transaction changes (NaviNet)
  Posted: 8/1/2013 , Audience: P, F, A
- •
  Discuss overactive bladder with your older adult patients (Health and Wellness)
  Posted: 8/1/2013 , Audience: P
- •
  Helping your patients understand Health Care Reform (Administrative)
  Posted: 8/1/2013 , Audience: P, F, A
- •
  Discounts on cord blood collection and storage (Health and Wellness)
  Posted: 8/1/2013 , Audience: P
- •
  New IBC products available through the Health Insurance Marketplace (Products)
  Posted: 8/1/2013 , Audience: P, F, A
- •
  Stay informed during our transition to a new operating platform (Business Transformation)
  Posted: 8/1/2013 , Audience: P, F, A
- •
  Encourage pregnant IBC members to register for Baby BluePrints^® (Health and Wellness)
  Posted: 8/1/2013 , Audience: P
- •
  Retirement of the Provider Automated System (Administrative)
  Posted: 8/1/2013 , Audience: P, F, A
- •
  New resources available for medical specialty drugs (Medical)
  Posted: 8/1/2013 , Audience: P
- •
  What’s Up Wednesday (ICD-10)
  Posted: 8/1/2013 , Audience: P, F, A
- •
  Sign up to receive IBC news and announcements via email (Administrative)
  Posted: 7/1/2013 , Audience: P, F, A
- •
  Reminder: An incentive opportunity for professional providers (Medical)
  Posted: 7/1/2013 , Audience: P
- •
  ClaimCheck^® upgrade and edit clarification (Medical)
  Posted: 7/1/2013 , Audience: P
- •
  Policy notifications posted as of June 28, 2013 (Medical)
  Posted: 7/1/2013 , Audience: P, F, A
- •
  Putting ICD-10 into Practice: Coding exercises and scenarios (Exercise/Scenario #7) (ICD-10)
  Posted: 7/1/2013 , Audience: P, F, A
- •
  Updated policy for intraoperative neurophysiological monitoring (Medical)
  Posted: 7/1/2013 , Audience: P, F, A
- •
  Stay informed during our transition to a new operatingplatform (Business Transformation)
  Posted: 7/1/2013 , Audience: P, F, A
- •
  Stay tuned: Upcoming NaviNet^® changes (NaviNet)
  Posted: 7/1/2013 , Audience: P, F, A
- •
  Reminder: New IBC products available through health insurance marketplaces (Products)
  Posted: 7/1/2013 , Audience: P, F, A
- •
  Updated payer ID grids now available (Billing & Reimbursement)
  Posted: 7/1/2013 , Audience: P, F
- •
  Health Coaches: Supporting your patients, our members (Health and Wellness)
  Posted: 6/24/2013 , Audience: P
- •
  A revised Hospital Manual is now available (Administrative)
  Posted: 6/14/2013 , Audience: F, A
- •
  Transitional care management services (Medical)
  Posted: 6/7/2013 , Audience: P, F, A
- •
  Upcoming changes to NaviNet^® (Business Transformation)
  Posted: 6/5/2013 , Audience: P, F, A
- •
  Reminder: Medicare Advantage PPO Network Sharing billing procedures (Billing & Reimbursement)
  Posted: 5/31/2013 , Audience: P, F, A
- •
  Update your provider information with us (Administrative)
  Posted: 5/31/2013 , Audience: P, F, A
- •
  CMS requires an individual NPI on all prescriptions for members covered under Medicare Part D (Pharmacy)
  Posted: 5/31/2013 , Audience: P
- •
  Prescription drug updates (Pharmacy)
  Posted: 5/31/2013 , Audience: P, F, A
- •
  An incentive opportunity for professional providers (Medical)
  Posted: 5/31/2013 , Audience: P
- •
  ACEI/ARB therapy benefits for hypertensive patients who have diabetes (Medical)
  Posted: 5/31/2013 , Audience: P
- •
  Policy notifications as of May 29, 2013 (Medical)
  Posted: 5/31/2013 , Audience: P, F, A
- •
  Change to anesthesia claims policy (Medical)
  Posted: 5/31/2013 , Audience: P, F
- •
  Putting ICD-10 into Practice: Coding exercises and scenarios (Exercise/Scenario #6) (ICD-10)
  Posted: 5/31/2013 , Audience: P, F, A
- •
  Choosing a safe, cost-effective setting for injectable and infusion therapy drugs (Medical)
  Posted: 5/31/2013 , Audience: P, F, A
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 5/31/2013 , Audience: P, F, A
- •
  Updated InterQual^® guidelines for 2013 (Medical)
  Posted: 5/31/2013 , Audience: P, F
- •
  Upcoming changes to our medical policy on sleep disorder testing (Medical)
  Posted: 5/31/2013 , Audience: P, F, A
- •
  ZIP code requirement for all ambulance service claims (Billing & Reimbursement)
  Posted: 5/31/2013 , Audience: A
- •
  Urgent care centers and retail health clinics are alternatives to the ER when physicians are unavailable (Administrative)
  Posted: 5/31/2013 , Audience: P, F
- •
  Encourage preventive care with the SilverSneakers^® Fitness Program (Health and Wellness)
  Posted: 5/31/2013 , Audience: P
- •
  Helping your patients understand Health Care Reform (Administrative)
  Posted: 5/31/2013 , Audience: P, F, A
- •
  New IBC products available through health insurance marketplaces (Products)
  Posted: 5/31/2013 , Audience: P, F, A
- •
  Reminder: Provider self-service requirements (NaviNet)
  Posted: 5/31/2013 , Audience: P, F, A
- •
  Retirement of three NaviNet^® transactions (NaviNet)
  Posted: 5/31/2013 , Audience: P, F, A
- •
  Professional Injectable and Vaccine Fee Schedule updates effective July 1, 2013 (Billing & Reimbursement)
  Posted: 5/31/2013 , Audience: P, F, A
- •
  Verify member cost-sharing at the time of service (Administrative)
  Posted: 5/31/2013 , Audience: P, F, A
- •
  Stay informed during our transition to a new operating platform (Business Transformation)
  Posted: 5/31/2013 , Audience: P, F, A
- •
  Updated payer ID grids now available (Billing & Reimbursement)
  Posted: 5/31/2013 , Audience: P, F
- •
  Reminder: QIPS High-Performing Office Summit on June 19 (Administrative)
  Posted: 5/31/2013 , Audience: P
- •
  Important Information about our Claims Processing System Transformation (Business Transformation)
  Posted: 5/24/2013 , Audience: P, F, A
- •
  Changing the way we do business with you (Business Transformation)
  Posted: 5/1/2013 , Audience: P, F, A
- •
  New release of IBX App features helpful Doctor’s Visit Assistant (Administrative)
  Posted: 5/1/2013 , Audience: P
- •
  Updated policy for artificial intervertebral disc insertion (Medical)
  Posted: 5/1/2013 , Audience: P, F, A
- •
  No member cost-sharing for breast pumps (Medical)
  Posted: 5/1/2013 , Audience: P, A
- •
  In-home assessments of high-risk members (Medical)
  Posted: 5/1/2013 , Audience: P, F
- •
  Policy notifications posted as of April 26, 2013 (Medical)
  Posted: 5/1/2013 , Audience: P, F, A
- •
  Changes to preferred products to treat osteoarthritis of the knee (Medical)
  Posted: 5/1/2013 , Audience: P
- •
  Putting ICD-10 into Practice: Coding exercises and scenarios (Exercise/Scenario #5) (ICD-10)
  Posted: 5/1/2013 , Audience: P, F, A
- •
  May is Mental Health Awareness month (Health and Wellness)
  Posted: 5/1/2013 , Audience: P
- •
  Enrollment changes for Baby BluePrints^® to begin this month (Business Transformation)
  Posted: 5/1/2013 , Audience: P, F
- •
  An updated Hospital Manual coming soon (Administrative)
  Posted: 5/1/2013 , Audience: F, A
- •
  New screening resources available for primary care physicians (Health and Wellness)
  Posted: 5/1/2013 , Audience: P
- •
  NaviNet^® Claim INFO Adjustment requirement now in effect (NaviNet)
  Posted: 5/1/2013 , Audience: P, F, A
- •
  Updated payer ID grids now available (Billing & Reimbursement)
  Posted: 5/1/2013 , Audience: P, F
- •
  Save the Date: QIPS High-Performing Office Summit on June 19 (Administrative)
  Posted: 5/1/2013 , Audience: P
- •
  New Primary Health Coach model (Business Transformation)
  Posted: 5/1/2013 , Audience: P
- •
  An overview of the IBC Provider News Center (Administrative)
  Posted: 5/1/2013 , Audience: P, F, A
- •
  Last day to submit IMPQs is Friday, May 3 (Administrative)
  Posted: 4/29/2013 , Audience: P
- •
  Orthovisc^® replaces Euflexxa^® as one of three preferred products to treat osteoarthritis of the knee (Pharmacy)
  Posted: 4/18/2013 , Audience: P
- •
  New fax form for procedure code update requests (NaviNet)
  Posted: 4/18/2013 , Audience: P, F, A
- •
  Spring 2013 edition of Inside IPP now available (Administrative)
  Posted: 4/12/2013 , Audience: F, A
- •
  An updated Provider Manual now available (Administrative)
  Posted: 4/1/2013 , Audience: P
- •
  Changing the way we do business with you (Business Transformation)
  Posted: 3/28/2013 , Audience: P, F, A
- •
  Policy notifications posted as of March 28, 2013 (Medical)
  Posted: 3/28/2013 , Audience: P, F, A
- •
  ICD-10 codes now available in medical and claim payment policies (ICD-10)
  Posted: 3/28/2013 , Audience: P, F, A
- •
  Putting ICD-10 into Practice: Coding exercises and scenarios (Exercise/Scenario #4) (ICD-10)
  Posted: 3/28/2013 , Audience: P, F, A
- •
  Reminder: NaviNet^® Claim INFO Adjustment requirement (NaviNet)
  Posted: 3/28/2013 , Audience: P, F, A
- •
  Help Medicare-eligible patients prevent diabetes with SilverSneakers^® (Health and Wellness)
  Posted: 3/28/2013 , Audience: P
- •
  Available this month: The Comparative Procedure Costs tool (NaviNet)
  Posted: 3/28/2013 , Audience: P
- •
  NaviNet^® registration requirement now in effect (NaviNet)
  Posted: 3/28/2013 , Audience: P, F, A
- •
  Upcoming transition to a Primary Health Coach model (Business Transformation)
  Posted: 3/28/2013 , Audience: P
- •
  Enrollment changes for Baby BluePrints^® (Business Transformation)
  Posted: 3/28/2013 , Audience: P, F
- •
  Sign up to receive IBC news and announcements via email (Administrative)
  Posted: 3/28/2013 , Audience: P, F, A
- •
  Specialists needed to assist in developing medical policies (Medical)
  Posted: 3/25/2013 , Audience: P
- •
  QPM score program for measurement year 2012 phase two responses due March 26th (Billing & Reimbursement)
  Posted: 3/21/2013 , Audience: P
- •
  Voluntary recall of all lots of OMONTYS^® (peginesatide) Injection (Medical & Pharmacy)
  Posted: 3/7/2013 , Audience: P, F, A
- •
  Important information regarding NaviNet^® requirements (Administrative)
  Posted: 3/6/2013 , Audience: P, F, A
- •
  Celebrate Save Your Vision Week, March 4 through March 8 (Administrative)
  Posted: 3/4/2013 , Audience: P, F, A
- •
  Upcoming changes to our home oxygen therapy policy (Medical)
  Posted: 3/1/2013 , Audience: P, A
- •
  Policy notifications posted as of February 28, 2013 (Medical)
  Posted: 3/1/2013 , Audience: P, F, A
- •
  Putting ICD-10 into Practice: Coding exercises and scenarios (Exercise/Scenario #3) (ICD-10)
  Posted: 3/1/2013 , Audience: P, F, A
- •
  Prescription drug updates (Pharmacy)
  Posted: 3/1/2013 , Audience: P, F, A
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 3/1/2013 , Audience: P, F, A
- •
  Reminder: Upcoming NaviNet^® requirements (Administrative)
  Posted: 3/1/2013 , Audience: P, F, A
- •
  Coming soon: The Comparative Procedure Costs tool on the NaviNet^® web portal (NaviNet)
  Posted: 3/1/2013 , Audience: P
- •
  Enhanced IBX App offers Doctor’s Visit Assistant (Administrative)
  Posted: 3/1/2013 , Audience: P, F, A
- •
  Updated payer ID grids now available (Billing & Reimbursement)
  Posted: 3/1/2013 , Audience: P, F
- •
  New Independence Administrators mailing address (Administrative)
  Posted: 3/1/2013 , Audience: P, F, A
- •
  Upcoming process change for the review of emergency admissions (Administrative)
  Posted: 3/1/2013 , Audience: P, F, A
- •
  New network of vision care providers available for IBC members (Administrative)
  Posted: 3/1/2013 , Audience: P, F, A
- •
  Encourage members to receive colorectal cancer screenings (Health and Wellness)
  Posted: 3/1/2013 , Audience: P
- •
  Reminder: Authorization submission requirements through NaviNet^® (NaviNet)
  Posted: 3/1/2013 , Audience: P, F, A
- •
  Changes to billing procedures for nutrition counseling are now in effect (Billing & Reimbursement)
  Posted: 3/1/2013 , Audience: P
- •
  NaviNet^® Claim INFO Adjustment requirement (NaviNet)
  Posted: 3/1/2013 , Audience: P, F, A
- •
  Reminder: Provider self-service requirements (Administrative)
  Posted: 3/1/2013 , Audience: P, F, A
- •
  2013 medical chart reviews (Administrative)
  Posted: 3/1/2013 , Audience: P, F
- •
  An updated Provider Manual coming soon (Administrative)
  Posted: 3/1/2013 , Audience: P
- •
  Complete your compliance training for Medicare programs (Administrative)
  Posted: 3/1/2013 , Audience: P, F, A
- •
  Investigations and audits help reduce health care fraud, waste, and abuse (Administrative)
  Posted: 3/1/2013 , Audience: P, F, A
- •
  New Business Transformation section now available (Business Transformation)
  Posted: 2/5/2013 , Audience: P, F, A
- •
  Online tool helps practices become a Patient-Centered Medical Home (Medical)
  Posted: 2/1/2013 , Audience: P
- •
  Policy notifications posted as of January 29, 2013 (Medical)
  Posted: 2/1/2013 , Audience: P, F, A
- •
  Visit the Provider News Center (Administrative)
  Posted: 2/1/2013 , Audience: P, F, A
- •
  Putting ICD-10 into Practice: Coding exercises and scenarios (Exercise/Scenario #2) (ICD-10)
  Posted: 2/1/2013 , Audience: P, F, A
- •
  Behavioral health resources available on our website (Health and Wellness)
  Posted: 2/1/2013 , Audience: P
- •
  Upcoming NaviNet^® requirements (Administrative)
  Posted: 2/1/2013 , Audience: P, F, A
- •
  Independence Administrators Gateway transition (Business Transformation)
  Posted: 2/1/2013 , Audience: P, F, A
- •
  Added features of the Find a Doctor tool promote consumer engagement (Administrative)
  Posted: 2/1/2013 , Audience: P, F, A
- •
  Your patients can be heart smart with the SilverSneakers^® Fitness Program (Health and Wellness)
  Posted: 2/1/2013 , Audience: P
- •
  Review your provider profile on our new Find a Doctor tool (Administrative)
  Posted: 2/1/2013 , Audience: P, F, A
- •
  Reminder: Nutrition counseling in a group setting not eligible for payment (Billing & Reimbursement)
  Posted: 2/1/2013 , Audience: P
- •
  Discuss routine preventive immunizations with your patients at their wellness visits (Health and Wellness)
  Posted: 1/28/2013 , Audience: P
Blue
2012 Updates
- •
  Updated QIPS Program Manual now available (Administrative)
  Posted: 12/28/2012 , Audience: P
- •
  Connections^SM Health Management Program: Supporting your patients, our members (Health and Wellness)
  Posted: 12/28/2012 , Audience: P
- •
  Request your office supplies through the Provider Supply Line (Administrative)
  Posted: 12/28/2012 , Audience: P, F, A
- •
  Policy notifications posted as of December 21, 2012 (Medical)
  Posted: 12/28/2012 , Audience: P, F, A
- •
  New report available for primary care practices (Medical)
  Posted: 12/28/2012 , Audience: P
- •
  New policy for athletic pubalgia effective March 5, 2013 (Medical)
  Posted: 12/28/2012 , Audience: P, F
- •
  Putting ICD-10 into Practice: Coding exercises and scenarios (Exercise/Scenario #1) (ICD-10)
  Posted: 12/28/2012 , Audience: P, F, A
- •
  2012 Cumulative Index now available (Administrative)
  Posted: 12/28/2012 , Audience: P, F, A
- •
  Winter 2012 edition of Inside IPP is now available (Administrative)
  Posted: 12/19/2012 , Audience: F, A
- •
  Now available: The December 2012 edition of Partners in Health Update (Administrative)
  Posted: 11/30/2012 , Audience: P, F, A
- •
  2012-2013 Clinical Practice Guideline Summary now available (Health and Wellness)
  Posted: 11/30/2012 , Audience: P
- •
  Case management: Help for your patients when they need it (Health and Wellness)
  Posted: 11/30/2012 , Audience: P
- •
  Reminder: Sign up to receive IBC news and announcements via email (Administrative)
  Posted: 11/30/2012 , Audience: P, F, A
- •
  Our Quality Management Program promotes quality of care and service (Quality Management)
  Posted: 11/30/2012 , Audience: P, F, A
- •
  The importance of lead screening and lead safety (Health and Wellness)
  Posted: 11/30/2012 , Audience: P
- •
  Reminder: Provider self-service requirements (Administrative)
  Posted: 11/30/2012 , Audience: P, F, A
- •
  Professional Injectable and Vaccine Fee Schedule updates effective January 1, 2013 (Billing & Reimbursement)
  Posted: 11/30/2012 , Audience: P, F, A
- •
  Significant changes in 2013 to CPT^® codes for behavioral health services (Billing & Reimbursement)
  Posted: 11/30/2012 , Audience: P
- •
  Resolution solution: The SilverSneakers^® Fitness Program (Health and Wellness)
  Posted: 11/30/2012 , Audience: P, F
- •
  Reminder: Authorization submission requirements through NaviNet (NaviNet)
  Posted: 11/30/2012 , Audience: P, F, A
- •
  Look for the new Find a Doctor tool this month (Administrative)
  Posted: 11/30/2012 , Audience: P, F, A
- •
  Prescription drug updates (Pharmacy)
  Posted: 11/30/2012 , Audience: P, F, A
- •
  Changes to growth hormone prescribing procedures (Pharmacy)
  Posted: 11/30/2012 , Audience: P
- •
  Policy notifications posted as of November 30, 2012 (Medical)
  Posted: 11/30/2012 , Audience: P, F, A
- •
  Reminder: Coverage change for Plan B One-Step^® (Levonorgestrel, Next Choice^®) (Medical)
  Posted: 11/30/2012 , Audience: P, A
- •
  Health care reform: Expansion of 100 percent coverage for women’s preventive health services (Medical)
  Posted: 11/30/2012 , Audience: P
- •
  Updated policy for Never Events and Preventable Adverse Events (Medical)
  Posted: 11/30/2012 , Audience: P, F
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 11/30/2012 , Audience: P, F, A
- •
  ICD-10 Spotlight: Know the codes (Coding Convention/Guideline: Mental and Behavioral Disorders) (ICD-10)
  Posted: 11/30/2012 , Audience: P, F, A
- •
  Nutrition counseling not eligible for payment in group setting (Billing & Reimbursement)
  Posted: 11/30/2012 , Audience: P
- •
  Reminder: IBX Mobile, our free smartphone application (Administrative)
  Posted: 11/1/2012 , Audience: P, F, A
- •
  Fall 2012 edition of Inside IPP now available (Administrative)
  Posted: 11/1/2012 , Audience: F, A
- •
  Cost-sharing for sleep disorder testing (sleep studies) (Administrative)
  Posted: 11/1/2012 , Audience: F
- •
  Introducing new cost and quality transparency tools and features (Administrative)
  Posted: 11/1/2012 , Audience: P, F, A
- •
  Reminder: Upcoming changes for Keystone 65 Select HMO (Products)
  Posted: 11/1/2012 , Audience: P, F, A
- •
  Benefits changes and clarifications for commercial members (Products)
  Posted: 11/1/2012 , Audience: P, F, A
- •
  Upcoming Medicare Advantage HMO and PPO benefits changes (Products)
  Posted: 11/1/2012 , Audience: P, F, A
- •
  Connections^SM Health Management Program: Supporting your patients, our members (Health and Wellness)
  Posted: 11/1/2012 , Audience: P
- •
  Reminder: Elimination of capitated podiatry program (Administrative)
  Posted: 11/1/2012 , Audience: P
- •
  Update your provider information with us (Administrative)
  Posted: 11/1/2012 , Audience: P, F, A
- •
  Policy notifications posted as of October 26, 2012 (Medical)
  Posted: 11/1/2012 , Audience: P, F, A
- •
  Policy reminder regarding utilization review decisions (Medical)
  Posted: 11/1/2012 , Audience: P
- •
  Vaccination coverage for Medicare Advantage HMO and PPO members (Medical)
  Posted: 11/1/2012 , Audience: P
- •
  ICD-10 Spotlight: Know the codes (Coding Convention/Guideline: Excludes1 and Excludes2, and Borderline Diagnosis Codes) (ICD-10)
  Posted: 11/1/2012 , Audience: P, F, A
- •
  Changing the way we do business with you (Business Transformation)
  Posted: 11/1/2012 , Audience: P, F, A
- •
  October is Breast Cancer Awareness Month (Health and Wellness)
  Posted: 10/10/2012 , Audience: P, F, A
- •
  Reminder: Get involved this year and help us stop diabetes (Administrative)
  Posted: 10/3/2012 , Audience: P, F, A
- •
  Quality ranking for primary care physician offices (Quality Management)
  Posted: 9/28/2012 , Audience: P
- •
  Upcoming changes for Keystone 65 Select HMO (Products)
  Posted: 9/28/2012 , Audience: P, F, A
- •
  Request your office supplies through the Provider Supply Line (Administrative)
  Posted: 9/28/2012 , Audience: P, F, A
- •
  New arrangement for self-funded national account customers (Products)
  Posted: 9/28/2012 , Audience: P, F, A
- •
  Elimination of capitated podiatry program (Administrative)
  Posted: 9/28/2012 , Audience: P
- •
  Case management: Help for your patients when they need it (Health and Wellness)
  Posted: 9/28/2012 , Audience: P
- •
  Medicare Part D prescriber prescription verification requests (Administrative)
  Posted: 9/28/2012 , Audience: P
- •
  Members encouraged to get whooping cough vaccine to combat rising rates (Health and Wellness)
  Posted: 9/28/2012 , Audience: P
- •
  Seasonal flu vaccine recommendations (Health and Wellness)
  Posted: 9/28/2012 , Audience: P
- •
  Coverage change for Plan B One Step^® (Levonorgestrel, Next Choice^®) (Medical)
  Posted: 9/28/2012 , Audience: P, A
- •
  Policy notifications posted as of September 21, 2012 (Medical)
  Posted: 9/28/2012 , Audience: P, F, A
- •
  Important change for the coverage of Adderall XR^® (Pharmacy)
  Posted: 9/28/2012 , Audience: P
- •
  Annual Synagis^® (palivizumab) distribution program (Medical)
  Posted: 9/28/2012 , Audience: P, F, A
- •
  ICD-10 Spotlight: Know the codes (ICD-10 distinction between burns and corrosions) (ICD-10)
  Posted: 9/28/2012 , Audience: P, F, A
- •
  HHS announces new ICD-10 compliance date of October 1, 2014 (ICD-10)
  Posted: 9/28/2012 , Audience: P, F, A
- •
  HHS announces new ICD-10 compliance date of October 1, 2014 (ICD-10)
  Posted: 9/5/2012 , Audience: P, F, A
- •
  Connections^SM Program Provider Satisfaction Surveynow available (Health and Wellness)
  Posted: 8/31/2012 , Audience: P
- •
  Get involved this year and help us stop diabetes (Administrative)
  Posted: 8/31/2012 , Audience: P, F, A
- •
  Reminder: Provider self-service requirements (Administrative)
  Posted: 8/31/2012 , Audience: P, F, A
- •
  Connections^SM Health Management Program: Supporting your patients, our members (Health and Wellness)
  Posted: 8/31/2012 , Audience: P
- •
  Professional Injectable and Vaccine Fee Schedule updates effective October 1, 2012 (Billing & Reimbursement)
  Posted: 8/31/2012 , Audience: P, F, A
- •
  Sign up to receive IBC news and announcements via email (Administrative)
  Posted: 8/31/2012 , Audience: P, F, A
- •
  Reminder: Authorization submission requirements through NaviNet^® (NaviNet)
  Posted: 8/31/2012 , Audience: P, F, A
- •
  Billing ambulance services for Medicare Advantage PPO members (Billing & Reimbursement)
  Posted: 8/31/2012 , Audience: A
- •
  The Connections^SM Health Management Program 2012 Annual Update is now available (Health and Wellness)
  Posted: 8/31/2012 , Audience: P
- •
  Policy notifications posted as of August 31, 2012 (Medical)
  Posted: 8/31/2012 , Audience: P, F, A
- •
  Prescription drug updates (Pharmacy)
  Posted: 8/31/2012 , Audience: P, F, A
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 8/31/2012 , Audience: P, F, A
- •
  Annual Synagis^® (palivizumab) distribution program (Medical)
  Posted: 8/31/2012 , Audience: P
- •
  Updated AIM clinical guidelines (Medical)
  Posted: 8/31/2012 , Audience: P
- •
  Clarification of billing guidelines for BlueCard^® claims for DME, independent clinical laboratory, and specialty pharmacy providers (Billing & Reimbursement)
  Posted: 8/31/2012 , Audience: A
- •
  ICD-10 Spotlight: Know the codes (ICD-10 distinction between burns and corrosions) (ICD-10)
  Posted: 8/31/2012 , Audience: P, F, A
- •
  An updated Provider Manual now available (Administrative)
  Posted: 8/30/2012 , Audience: P
- •
  Coverage of Influenza Vaccine for 2012-2013 (Medical)
  Posted: 8/13/2012 , Audience: P, F, A
- •
  Upcoming changes to the AIM Clinical Guidelines (Medical)
  Posted: 8/3/2012 , Audience: P
- •
  Temporary issue affecting batch eligibility and benefits information (NaviNet)
  Posted: 7/31/2012 , Audience: P, F, A
- •
  Summer 2012 edition of Inside IPP now available (Products)
  Posted: 7/31/2012 , Audience: F, A
- •
  Performing EGD and colonoscopy procedures on the same day (Medical)
  Posted: 7/31/2012 , Audience: P
- •
  Retrospective chart review program (Medical)
  Posted: 7/31/2012 , Audience: P
- •
  Policy notifications posted as of July 25, 2012 (Medical)
  Posted: 7/31/2012 , Audience: P, F, A
- •
  Introducing the Connections^SM Provider Portal (Health and Wellness)
  Posted: 7/31/2012 , Audience: P
- •
  Upcoming CFID provider audits (Administrative)
  Posted: 7/31/2012 , Audience: P, F, A
- •
  Case management: Help for your patients when they need it (Health and Wellness)
  Posted: 7/31/2012 , Audience: P
- •
  Encourage your older adult patients to get moving (Health and Wellness)
  Posted: 7/31/2012 , Audience: P
- •
  Update your provider information with us (Administrative)
  Posted: 7/31/2012 , Audience: P, F, A
- •
  New initiative promotes the use of generic drugs (Medical)
  Posted: 7/31/2012 , Audience: P
- •
  ICD-10 Spotlight: Know the codes (Clinical terminology in ICD-10) (ICD-10)
  Posted: 7/31/2012 , Audience: P, F, A
- •
  IBC introduces new "Changing the Game" campaign (Administrative)
  Posted: 7/30/2012 , Audience: P, F, A
- •
  Resolved: Temporary issue affecting batch eligibility and benefits information (NaviNet)
  Posted: 7/5/2012 , Audience: P, F, A
- •
  NaviNet^® Alert! Temporary issue affecting batch eligibility and benefits information (Administrative)
  Posted: 6/29/2012 , Audience: P, F, A
- •
  ICD-10 Spotlight: Know the codes (Drug underdosing) (ICD-10 & HIPAA 5010)
  Posted: 6/29/2012 , Audience: P, F, A
- •
  Policy notifications posted as of June 22, 2012 (Medical)
  Posted: 6/29/2012 , Audience: P, F, A
- •
  Choosing a safe, cost-effective setting for injectable and infusion therapy drugs (Medical)
  Posted: 6/29/2012 , Audience: P
- •
  Updated payer ID grids now available (Billing & Reimbursement)
  Posted: 6/29/2012 , Audience: P, F
- •
  The process of requesting retrospective reviews for inpatient stays (Administrative)
  Posted: 6/29/2012 , Audience: F
- •
  Member cost-sharing for urgent care benefit (Administrative)
  Posted: 6/29/2012 , Audience: P, F, A
- •
  Health care reform: Expansion of 100 percent coverage for women’s preventive health services (Medical & Pharmacy)
  Posted: 6/29/2012 , Audience: P
- •
  Exercise: A key to fall prevention (Health and Wellness)
  Posted: 6/29/2012 , Audience: P
- •
  Enhanced outreach program for Medicare Advantage HMO and PPO members (Administrative)
  Posted: 6/29/2012 , Audience: P
- •
  Connections^SM Health Management Program: Supporting your patients, our members (Health and Wellness)
  Posted: 6/29/2012 , Audience: P
- •
  Choosing Wisely^®: A new initiative that promotes smart and effective care choices (Health and Wellness)
  Posted: 6/29/2012 , Audience: P
- •
  ClaimCheck^® upgrade and edit clarification (Administrative)
  Posted: 6/29/2012 , Audience: P, A
- •
  Changing the way we do business (Business Transformation)
  Posted: 6/29/2012 , Audience: P, F, A
- •
  Welcome to the Provider News Center (Administrative)
  Posted: 6/14/2012 , Audience: P, F, A
- •
  Reminder: Provider self-service requirements (Administrative)
  Posted: 5/31/2012 , Audience: P, F, A
- •
  Policy notifications posted as of May 21, 2012 (Medical)
  Posted: 5/31/2012 , Audience: P, F, A
- •
  Changes to approved drug dose, frequency, or regimen must be resubmitted for precertification (Medical)
  Posted: 5/31/2012 , Audience: P, F, A
- •
  Prescription drug updates (Pharmacy)
  Posted: 5/31/2012 , Audience: P, F, A
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 5/31/2012 , Audience: P, F, A
- •
  Updated InterQual^® guidelines for 2012 (Medical)
  Posted: 5/31/2012 , Audience: P, F, A
- •
  Sign up to receive IBC news and announcements via email (Administrative)
  Posted: 5/31/2012 , Audience: P, F, A
- •
  Request your office supplies through the Provider Supply Line (Administrative)
  Posted: 5/31/2012 , Audience: P, F, A
- •
  Reminder: Authorization submission requirements through NaviNet^® (NaviNet)
  Posted: 5/31/2012 , Audience: P, F, A
- •
  Professional Injectable and Vaccine Fee Schedule updates effective July 1, 2012 (Billing & Reimbursement)
  Posted: 5/31/2012 , Audience: P, F, A
- •
  Prescribing medications for your older adult patients (Health and Wellness)
  Posted: 5/31/2012 , Audience: P
- •
  Counseling older adult patients about fall prevention (Health and Wellness)
  Posted: 5/31/2012 , Audience: P
- •
  Case management: Help for your patients when they need it (Health and Wellness)
  Posted: 5/31/2012 , Audience: P
- •
  Emergency room follow-up care reminder (Administrative)
  Posted: 5/31/2012 , Audience: P, F, A
- •
  Highlights of the June 2012 release of the SMART^® Registry from the Connections^SM Program (Health and Wellness)
  Posted: 5/31/2012 , Audience: P
- •
  ICD-10 Spotlight: Know the codes (7^th character extension for episode of care for fractures) (ICD-10)
  Posted: 5/31/2012 , Audience: P, F, A
- •
  Spring 2012 edition of Inside IPP now available (Products)
  Posted: 5/1/2012 , Audience: F, A
- •
  A new look for ibx.com (Administrative)
  Posted: 5/1/2012 , Audience: P, F, A
- •
  Policy notifications posted as of April 23, 2012 (Medical)
  Posted: 5/1/2012 , Audience: P, F, A
- •
  Program for brand Lipitor^® ends as of June 1, 2012 (Pharmacy)
  Posted: 5/1/2012 , Audience: P
- •
  Connections^SM Health Management Program: Supporting your patients, our members (Health and Wellness)
  Posted: 5/1/2012 , Audience: P
- •
  Independence Administrators offers free electronic claims payments and remittances with Integrated ERA/EFT™ (Administrative)
  Posted: 5/1/2012 , Audience: P, F
- •
  Update your provider information with us (Administrative)
  Posted: 5/1/2012 , Audience: P, F, A
- •
  Register pregnant IBC members for Baby BluePrints^® to ensure early outreach (Administrative)
  Posted: 5/1/2012 , Audience: P
- •
  Encourage your older adult patients to take a walk (Health and Wellness)
  Posted: 5/1/2012 , Audience: P
- •
  AIM changes its company name (Administrative)
  Posted: 5/1/2012 , Audience: P, F, A
- •
  Information and resources for your Medicare-eligible patients (Products)
  Posted: 5/1/2012 , Audience: P, F, A
- •
  Emergency hospital admission notification submission changes for Independence Administrators beginning June 1, 2012 (Administrative)
  Posted: 5/1/2012 , Audience: P, F, A
- •
  Professional fee schedule changes effective July 1, 2012 (Billing & Reimbursement)
  Posted: 5/1/2012 , Audience: P
- •
  ICD-10 Spotlight: Know the codes (7^th character extension for episode of care) (ICD-10)
  Posted: 5/1/2012 , Audience: P, F, A
- •
  ICD-10 implementation update: IBC continues to move forward (ICD-10)
  Posted: 5/1/2012 , Audience: P, F, A
- •
  Assessing the needs of high-risk Medicare Advantage HMO and PPO members (Medical)
  Posted: 3/29/2012 , Audience: P, F
- •
  CMS patient safety measures and how you can help (Pharmacy)
  Posted: 3/29/2012 , Audience: P
- •
  Policy notifications posted as of March 26, 2012 (Medical)
  Posted: 3/29/2012 , Audience: P, F, A
- •
  Reminder: Sign up to receive IBC news and announcements via email (Administrative)
  Posted: 3/29/2012 , Audience: P, F, A
- •
  Low-dose chest CT screening for individuals at high risk for lung cancer (Medical)
  Posted: 3/29/2012 , Audience: P, F, A
- •
  NaviNet^® enhancement features new urgent care copayment (NaviNet)
  Posted: 3/29/2012 , Audience: P, F, A
- •
  Case management: Help for your patients when they need it (Health and Wellness)
  Posted: 3/29/2012 , Audience: P
- •
  Updated meningococcal vaccine/booster dose guidelines from the AAP (Health and Wellness)
  Posted: 3/29/2012 , Audience: P
- •
  Safe use of acetaminophen in infants and children (Health and Wellness)
  Posted: 3/29/2012 , Audience: P
- •
  Use the Clinical Care Report to improve coordination of care (NaviNet)
  Posted: 3/29/2012 , Audience: P, F
- •
  Coming soon: New tool for members to provide online reviews for their network physicians (Administrative)
  Posted: 3/29/2012 , Audience: P
- •
  Long-term care billing and referral requirements (Administrative)
  Posted: 3/29/2012 , Audience: P, F, A
- •
  Ambulance transport for Medicare Advantage HMO and PPO members receiving custodial and skilled nursing care (Administrative)
  Posted: 3/29/2012 , Audience: A
- •
  Blue plans and Lumeris complete acquisition of nation’s largest real-time health care communication network (Administrative)
  Posted: 3/29/2012 , Audience: P, F, A
- •
  Cost-sharing for preventive and nonpreventive services (Administrative)
  Posted: 3/29/2012 , Audience: P, F, A
- •
  Updated Clinical Alerts Overview is available (NaviNet)
  Posted: 3/29/2012 , Audience: P
- •
  HIPAA 5010 troubleshooting information (ICD-10)
  Posted: 3/29/2012 , Audience: P, F, A
- •
  ICD-10 Spotlight: Know the codes (Laterality) (ICD-10)
  Posted: 3/29/2012 , Audience: P, F, A
- •
  IBC follows CMS lead with second HIPAA 5010 90-day enforcement grace period (ICD-10)
  Posted: 3/29/2012 , Audience: P, F, A
- •
  Blue Plans and Lumeris complete acquisition of nation's largest real-time health care communication network (NaviNet)
  Posted: 3/14/2012 , Audience: P, F, A
- •
  Prescription drug updates (Pharmacy)
  Posted: 3/1/2012 , Audience: P, F, A
- •
  Clarification on the use of Modifier 52 (Medical)
  Posted: 3/1/2012 , Audience: P, F, A
- •
  Policy notifications posted as of February 21, 2012 (Medical)
  Posted: 3/1/2012 , Audience: P, F, A
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 3/1/2012 , Audience: P, F, A
- •
  Reminder: Authorization submission requirements through NaviNet® (NaviNet)
  Posted: 3/1/2012 , Audience: P, F, A
- •
  Reminder: Provider self-service requirements (Administrative)
  Posted: 3/1/2012 , Audience: P, F, A
- •
  Professional Injectable and Vaccine Fee Schedule updates effective April 1, 2012 (Billing & Reimbursement)
  Posted: 3/1/2012 , Audience: P, F, A
- •
  Blue Distinction^®: New value-based designation (Administrative)
  Posted: 3/1/2012 , Audience: F
- •
  Connections^SM Health Management Program: Supporting your patients, our members (Health and Wellness)
  Posted: 3/1/2012 , Audience: P
- •
  Strong bones, improved quality of life for women: Controlling osteoporosis after a fracture (Health and Wellness)
  Posted: 3/1/2012 , Audience: P
- •
  Sign up to receive IBC news and announcements via email (Administrative)
  Posted: 3/1/2012 , Audience: P, F, A
- •
  IBC study shows that integrating medical and pharmacy benefits offers advantages to members (Administrative)
  Posted: 3/1/2012 , Audience: P, F, A
- •
  Reminder: Medicare Advantage PPO network sharing billing procedures (Administrative)
  Posted: 3/1/2012 , Audience: P, F, A
- •
  IBC to introduce new urgent care benefit (Administrative)
  Posted: 3/1/2012 , Audience: P, F, A
- •
  CFID continues to keep down health care costs (Administrative)
  Posted: 3/1/2012 , Audience: P, F, A
- •
  HIPAA 5010 troubleshooting tips (ICD-10)
  Posted: 3/1/2012 , Audience: P, F, A
- •
  ICD-10 Spotlight: Know the codes (Combination codes) (ICD-10)
  Posted: 3/1/2012 , Audience: P, F, A
- •
  IBC invited to present during the Pennsylvania Medical Society’s ICD-10 webinar (ICD-10)
  Posted: 3/1/2012 , Audience: P, F, A
- •
  Policy notifications posted as of January 20, 2012 (Medical)
  Posted: 1/31/2012 , Audience: P, F, A
- •
  Closed formulary option for Medicare Part D members (Pharmacy)
  Posted: 1/31/2012 , Audience: P
- •
  New screening and vaccination recommendationsfor children (Health and Wellness)
  Posted: 1/31/2012 , Audience: P, F, A
- •
  Case management: Help for your patients when they need it (Health and Wellness)
  Posted: 1/31/2012 , Audience: P
- •
  New Provider Automated System is now live (Administrative)
  Posted: 1/31/2012 , Audience: P, F, A
- •
  New hospitals join Keystone 65 Select HMO network (Products)
  Posted: 1/31/2012 , Audience: P, F, A
- •
  Sign up to receive IBC news and announcements via email (Administrative)
  Posted: 1/31/2012 , Audience: P, F, A
- •
  Upcoming professional fee schedule changes for 2012 (Billing & Reimbursement)
  Posted: 1/31/2012 , Audience: P
- •
  Members can help prevent heart disease with SilverSneakers^® (Health and Wellness)
  Posted: 1/31/2012 , Audience: P
- •
  ICD-10 Spotlight: Know the codes (Code first) (ICD-10)
  Posted: 1/31/2012 , Audience: P, F, A
Blue
2011 Updates
- •
  Policy notifications posted as of December 21, 2011 (Medical)
  Posted: 12/29/2011 , Audience: P, F, A
- •
  Change to our specialty pharmacy network for commercial members (Pharmacy)
  Posted: 12/29/2011 , Audience: P
- •
  Preferred providers for insulin pumps and continuous glucose monitoring related supplies (Medical)
  Posted: 12/29/2011 , Audience: P, F
- •
  Reminder: Use of modifier-25 when reporting E&M services with spinal/extraspinal manipulation codes (Medical)
  Posted: 12/29/2011 , Audience: P
- •
  Reminder: New precertification requirements now in effect for Medicare Advantage HMO and PPO members (Medical)
  Posted: 12/29/2011 , Audience: P, F, A
- •
  2011 Cumulative Index now available (Administrative)
  Posted: 12/29/2011 , Audience: P, F, A
- •
  Winter 2011 edition of Inside IPP now available (Products)
  Posted: 12/29/2011 , Audience: F, A
- •
  Physician refresher/re-entry courses (Administrative)
  Posted: 12/29/2011 , Audience: P
- •
  Attention: Changes to the Provider Automated System postponed (Administrative)
  Posted: 12/29/2011 , Audience: P, F, A
- •
  Updated QIPS Program Manual now available (Administrative)
  Posted: 12/29/2011 , Audience: P
- •
  Sign up to receive IBC news and announcements via email (Administrative)
  Posted: 12/29/2011 , Audience: P, F, A
- •
  Connections^SM Health Management Program: Supporting your patients, our members (Health and Wellness)
  Posted: 12/29/2011 , Audience: P
- •
  Reminder: Medicare Advantage HMO and PPO benefits changes (Products)
  Posted: 12/29/2011 , Audience: P, F, A
- •
  Celiac disease: Information and resources for you and your patients (Health and Wellness)
  Posted: 12/29/2011 , Audience: P
- •
  Updated payer ID grids now available (Billing & Reimbursement)
  Posted: 12/29/2011 , Audience: P, F
- •
  Reminder: IBC follows CMS lead with HIPAA 5010 90-day enforcement grace period (ICD-10)
  Posted: 12/29/2011 , Audience: P, F, A
- •
  Reminder: Change to anesthesia claims payment methodology calculation (Medical)
  Posted: 12/5/2011 , Audience: P
- •
  Policy notifications posted as of November 23, 2011 (Medical)
  Posted: 12/1/2011 , Audience: P, F, A
- •
  Brand Lipitor® available to members through May 2012 (Pharmacy)
  Posted: 12/1/2011 , Audience: P
- •
  Prescription drug updates (Medical)
  Posted: 12/1/2011 , Audience: P, F, A
- •
  Precertification process change for certain infusion therapy drugs (Medical)
  Posted: 12/1/2011 , Audience: P
- •
  Upcoming benefits change for progesterone in oil (Pharmacy)
  Posted: 12/1/2011 , Audience: P
- •
  Resolution solution: The SilverSneakers^® Fitness Program (Health and Wellness)
  Posted: 12/1/2011 , Audience: P
- •
  ClaimCheck^® upgrade and edit clarification (Administrative)
  Posted: 12/1/2011 , Audience: P
- •
  Reminder: Provider self-service requirements now in effect (Administrative)
  Posted: 12/1/2011 , Audience: P, F, A
- •
  Reminder: Authorization submission requirements through NaviNet (NaviNet)
  Posted: 12/1/2011 , Audience: P, F, A
- •
  Information about Keystone 65 Select HMO available online (Administrative)
  Posted: 12/1/2011 , Audience: P, F, A
- •
  Case management - Help for your patients when they need it (Health and Wellness)
  Posted: 12/1/2011 , Audience: P
- •
  Professional Injectable and Vaccine Fee Schedule updates effective January 1, 2012 (Billing & Reimbursement)
  Posted: 12/1/2011 , Audience: P, F, A
- •
  Attention: Changes to the Provider Automated System postponed until mid-December (Administrative)
  Posted: 12/1/2011 , Audience: P, F, A
- •
  Managing bladder control problems (Health and Wellness)
  Posted: 12/1/2011 , Audience: P
- •
  Change to mass adjustments for outpatient fee schedule changes for IBC member claims (Products)
  Posted: 12/1/2011 , Audience: F, A
- •
  IBC network medical directors launch physician-to-physician email platform (Administrative)
  Posted: 12/1/2011 , Audience: P
- •
  New ACIP guidelines for pertussis vaccine (Health and Wellness)
  Posted: 12/1/2011 , Audience: P
- •
  Expanded infant sleep guidelines from the AAP (Health and Wellness)
  Posted: 12/1/2011 , Audience: P
- •
  IBC follows CMS lead with HIPAA 5010 90-day enforcement grace period (ICD-10)
  Posted: 12/1/2011 , Audience: P, F, A
- •
  ICD-10 readiness for IBC-participating facilities (ICD-10)
  Posted: 12/1/2011 , Audience: P, F, A
- •
  Policy notifications posted as of October 27, 2011 (Medical)
  Posted: 11/1/2011 , Audience: P, F, A
- •
  Specialists needed to assist in developing medical policies (Medical)
  Posted: 11/1/2011 , Audience: P
- •
  Reminder: Provider self-service requirements now in effect (Administrative)
  Posted: 11/1/2011 , Audience: P, F, A
- •
  Toolkit offers help for a successful flu vaccine campaign (Health and Wellness)
  Posted: 11/1/2011 , Audience: P
- •
  Connections^SM Program Provider Satisfaction Survey available November 4 (Health and Wellness)
  Posted: 11/1/2011 , Audience: P
- •
  Connections^SM Health Management Program: Supporting your patients, our members (Health and Wellness)
  Posted: 11/1/2011 , Audience: P
- •
  Get important information delivered through email (Administrative)
  Posted: 11/1/2011 , Audience: P, F, A
- •
  2011–2012 Clinical Insights now available (Health and Wellness)
  Posted: 11/1/2011 , Audience: P
- •
  2011–2012 Clinical Practice Guideline Summary now available (Health and Wellness)
  Posted: 11/1/2011 , Audience: P
- •
  Upcoming Medicare Advantage HMO and PPO benefits changes (Products)
  Posted: 11/1/2011 , Audience: P, F, A
- •
  Reminder: Introducing Keystone 65 Select HMO (Products)
  Posted: 11/1/2011 , Audience: P, F, A
- •
  Benefits changes and clarifications for commercial members (Products)
  Posted: 11/1/2011 , Audience: P, F, A
- •
  NaviNet Plan Transactions menu options to change (NaviNet)
  Posted: 11/1/2011 , Audience: P, F, A
- •
  Claims Preprocessing Edits Claims Resolution Document updated for HIPAA 5010 (Billing & Reimbursement)
  Posted: 11/1/2011 , Audience: P, A
- •
  Reminder: Upcoming changes to the Provider Automated System (Administrative)
  Posted: 11/1/2011 , Audience: P, F, A
- •
  Changes to referral requirements for certain nutrition counseling services (Administrative)
  Posted: 11/1/2011 , Audience: P
- •
  The transition to ICD-10 and the impact on providers (ICD-10)
  Posted: 11/1/2011 , Audience: P, F, A
- •
  Policy notifications posted as of September 23, 2011 (Medical)
  Posted: 10/3/2011 , Audience: P, F, A
- •
  Policy reminder regarding utilization review decisions (Medical)
  Posted: 10/3/2011 , Audience: P
- •
  Policy on Modifier 52 (Medical)
  Posted: 10/3/2011 , Audience: P, F, A
- •
  Precertification requirement changes for Medicare Advantage HMO and PPO members (Medical)
  Posted: 10/3/2011 , Audience: P, F, A
- •
  New tip sheets available for attention deficit/hyperactivity and adult bipolar disorders (Health and Wellness)
  Posted: 10/3/2011 , Audience: P
- •
  Get important information delivered through email (Administrative)
  Posted: 10/3/2011 , Audience: P, F, A
- •
  Connections^SM Program Provider Satisfaction Survey coming in November (Health and Wellness)
  Posted: 10/3/2011 , Audience: P
- •
  Introducing IBX Mobile and IBX Healthy Steps, our free smartphone applications for members (Administrative)
  Posted: 10/3/2011 , Audience: P, F, A
- •
  Jefferson Health System joins IBC’s new Keystone 65 Select network (Administrative)
  Posted: 10/3/2011 , Audience: P, F, A
- •
  October is breast cancer awareness month (Health and Wellness)
  Posted: 10/3/2011 , Audience: P
- •
  Seasonal flu vaccine recommendations and labeling changes for Tamiflu® (Health and Wellness)
  Posted: 10/3/2011 , Audience: P
- •
  How the Clinical Care Report can help with pre-visit planning (NaviNet)
  Posted: 10/3/2011 , Audience: P
- •
  Updates made to the NaviNet Chemotherapy/Infusion and Home Infusion Authorizations Guide (NaviNet)
  Posted: 10/3/2011 , Audience: P, F, A
- •
  Upcoming changes to the Provider Automated System (Administrative)
  Posted: 10/3/2011 , Audience: P, F, A
- •
  Introducing Keystone 65 Select HMO (Products)
  Posted: 10/3/2011 , Audience: P, F, A
- •
  Provider self-service requirements now in effect (Administrative)
  Posted: 10/3/2011 , Audience: P, F, A
- •
  Reminder: New email address replaces the network credentialing support services hotline (Administrative)
  Posted: 9/1/2011 , Audience: P
- •
  Transitioning select infusion therapy drugs from the outpatient setting to the office or home setting (Medical)
  Posted: 9/1/2011 , Audience: P, F, A
- •
  New policy on inpatient hospital readmissions (Medical)
  Posted: 9/1/2011 , Audience: F
- •
  Change in reimbursement for assistant-at-surgery services (Medical)
  Posted: 9/1/2011 , Audience: P
- •
  Policy notifications posted as of August 19, 2011 (Medical)
  Posted: 9/1/2011 , Audience: P, F, A
- •
  Prescription drug updates (Pharmacy)
  Posted: 9/1/2011 , Audience: P, F, A
- •
  Select Drug Program® Formulary updates (Pharmacy)
  Posted: 9/1/2011 , Audience: P, F, A
- •
  Reminder: Use updated precertification requirements lists (Medical)
  Posted: 9/1/2011 , Audience: P, F, A
- •
  Annual Synagis^® (palivizumab) distribution program (Medical)
  Posted: 9/1/2011 , Audience: P, F, A
- •
  Overview guides available for substance-use disorders, depression, and suicide (Health and Wellness)
  Posted: 9/1/2011 , Audience: P, F, A
- •
  The Connections^SM Health Management Programs 2011 Annual Update is now available (Health and Wellness)
  Posted: 9/1/2011 , Audience: P
- •
  New options available for Blue Solutions^® product portfolio (Products)
  Posted: 9/1/2011 , Audience: P, F, A
- •
  Get important information delivered through email (Administrative)
  Posted: 9/1/2011 , Audience: P, F, A
- •
  Updated payer ID grids now available (Administrative)
  Posted: 9/1/2011 , Audience: P, F
- •
  Reminder: Get involved this year and help us stop diabetes (Health and Wellness)
  Posted: 9/1/2011 , Audience: P, F, A
- •
  Serving up healthy eating and exercise habits (Health and Wellness)
  Posted: 9/1/2011 , Audience: P
- •
  Using spirometry in COPD diagnosis (Health and Wellness)
  Posted: 9/1/2011 , Audience: P
- •
  Case management: Help for your patients when they need it (Health and Wellness)
  Posted: 9/1/2011 , Audience: P
- •
  IBC launches new advanced illness support program for Medicare Advantage HMO and PPO members (Health and Wellness)
  Posted: 9/1/2011 , Audience: P, F
- •
  The Clinical Care Report is now available (NaviNet)
  Posted: 9/1/2011 , Audience: P, F
- •
  Professional Injectable and Vaccine Fee Schedule updates effective October 1, 2011 (Billing & Reimbursement)
  Posted: 9/1/2011 , Audience: P, F, A
- •
  Reminder: Provider self-service requirements effective September 15, 2011 (Administrative)
  Posted: 9/1/2011 , Audience: P, F, A
- •
  Cost-sharing for preventive and nonpreventive services (Administrative)
  Posted: 9/1/2011 , Audience: P, F, A
- •
  Changes to AIM request submission options (Administrative)
  Posted: 9/1/2011 , Audience: P
- •
  Now available: ICD-10 Frequently Asked Questions (ICD-10)
  Posted: 9/1/2011 , Audience: P, F, A
- •
  HIPAA 5010 go-live date change (ICD-10)
  Posted: 9/1/2011 , Audience: P, F, A
- •
  Policy notifications posted as of July 20, 2011 (Medical)
  Posted: 7/28/2011 , Audience: P, F, A
- •
  Updated procedures for requesting precertification for pain management, DME, and home health providers (Medical)
  Posted: 7/28/2011 , Audience: P, F, A
- •
  Annual Synagis^® (palivizumab) distribution program (Medical)
  Posted: 7/28/2011 , Audience: P, F, A
- •
  Provider self-service requirements effective September 15, 2011 (Administrative)
  Posted: 7/28/2011 , Audience: P, F, A
- •
  Procedures for billing multiple services (Billing & Reimbursement)
  Posted: 7/28/2011 , Audience: P, A
- •
  On the road with SilverSneakers^® (Health and Wellness)
  Posted: 7/28/2011 , Audience: P
- •
  Major changes included in the August 2011 release of the SMART^® Registry from the Connections^SM Program (Health and Wellness)
  Posted: 7/28/2011 , Audience: P
- •
  Summer 2011 edition of Inside IPP now available (Products)
  Posted: 7/28/2011 , Audience: F, A
- •
  The Provider Satisfaction Survey is in the mail (Administrative)
  Posted: 7/28/2011 , Audience: P
- •
  Get involved this year and help us stop diabetes (Health and Wellness)
  Posted: 7/28/2011 , Audience: P, F, A
- •
  Responsibilities of a NaviNet Security Officer (NaviNet)
  Posted: 7/28/2011 , Audience: P, F, A
- •
  Connections^SM Health Management Program: Supporting your patients, our members (Health and Wellness)
  Posted: 7/28/2011 , Audience: P
- •
  Reminder: The Clinical Care Report will be available this month (NaviNet)
  Posted: 7/28/2011 , Audience: P, F
- •
  New user guides now available on NaviNet^® (NaviNet)
  Posted: 7/28/2011 , Audience: P, F, A
- •
  Reminder: Understanding the QIPS Professional & Outpatient Cost Management Report webinar coming in September (Administrative)
  Posted: 7/28/2011 , Audience: P
- •
  IBC to introduce new Medicare Advantage HMO product (Administrative)
  Posted: 7/28/2011 , Audience: P, F, A
- •
  HIPAA 5010 Companion Guides now available (ICD-10)
  Posted: 7/28/2011 , Audience: P, F, A
- •
  Precertification requirement changes and updated lists available in July (Medical)
  Posted: 7/1/2011 , Audience: P, F, A
- •
  Policy notifications posted as of June 21, 2011 (Medical)
  Posted: 7/1/2011 , Audience: P, F, A
- •
  Important information about the upcoming Clinical Care Report (Medical)
  Posted: 7/1/2011 , Audience: P, F, A
- •
  Prescription mail order service transition (Pharmacy)
  Posted: 7/1/2011 , Audience: P, F, A
- •
  SilverSneakers^®: Helping Baby Boomers stay active (Health and Wellness)
  Posted: 7/1/2011 , Audience: P
- •
  Reminder: Upcoming provider self-service requirements (Administrative)
  Posted: 7/1/2011 , Audience: P, F, A
- •
  Get important information delivered through email (Administrative)
  Posted: 7/1/2011 , Audience: P, F, A
- •
  Case Management: Help for your patients when they need it (Health and Wellness)
  Posted: 7/1/2011 , Audience: P
- •
  Updated payer ID grids now available (Billing & Reimbursement)
  Posted: 7/1/2011 , Audience: P, F
- •
  Webinar coming in September: Understanding the QIPS Professional & Outpatient Cost Management report (Administrative)
  Posted: 7/1/2011 , Audience: P
- •
  Are you ready?: HIPAA 5010 transition (ICD-10)
  Posted: 7/1/2011 , Audience: P, F, A

Quick Links

Behavioral Health

Behavioral Health FAQ

Provider Data Maintenance

Frequently Asked Questions

Manuals

Medical and Claim Payment Policy Portal

Opioid Awareness

Platform Transition

Provider eBusiness Inquiry form

Services that require precertification

Utilization Management

Value-based programs

Archives

Partners in Health Update past edition PDFs

Cumulative Index

ICD-10 Transition

Business Transformation

Exclusive National Lab Initiative

This content was prepared for the Provider News Center and may not be reproduced in any way without the express written permission of Independence Blue Cross. Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association.

Connect with us

Site Map Anti-Fraud Privacy Policy Legal Disclaimer

© 2023 Independence Blue Cross.
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.