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HSConnect
If you are experiencing an issue with HSConnect, Please Read.
From HealthSpring regarding referrals: Our apologies for the inconvenience and confusion, but this is a known issue within the HSConnect/MHK platform. All of our specialists are showing non-participating in HSC/MHK as of 2021 for some reason, even with a correct NPI of a participating specialist. It is currently being researched and examined on this end. In the meantime, my understanding is that the PCP can still submit the referral despite the notification – it’s just causing some confusion to see a par provider listed as non-par. We’re hoping to rectify the issue as soon as possible as to limit the disruption for our physician offices and members.
If you are having an issue checking eligibility, you may do so via automated phone system:
1-800-230-6138, option 1
To request HSConnect support (Please take screen shots if possible) Email:[email protected]
POET Holiday Hours
POET will be closed beginning December 23rd and re-open December 28th.
The Staff at POET wishes you all a very Merry Christmas and pray for good health to be with us all.
Stay safe.
HSConnect provider portal/MHK FAQ 11/23/20
As you are likely aware, the HSConnect provider portal underwent an MHK integration on 10/30/2020. The MHK implementation team created an FAQ to reflect some recent questions and answers that a provider staff member may have. The updated provider portal document is available here on Ink, Just a click away.
Clash of the Titans? CHI vs BCBSTX
BCBSTX and CHI (CommonSpirit) are clashing over their contract.
CHI has given termination notice to BCBSTX. The termination is effective after December 16, 2020 according to a letter received from BCBSTX.
This termination will affect physicians with privileges ONLY at CHI hospital and not with another in network facility. This is because physicians are required to have privileges with an in network facility.
If you also are “on staff” at Woodland Heights or another in network facility this does not affect your credentialing with BCBSTX.
Physicians may reach out for privileges with other in network facilities OR Physicians may have arrangements for care of their patients at other in network facilities if necessary.
POET has not mentioned this before because most of the time these situations are resolved at the last minute. We believe both parties need each other and therefore will find a solution.
We have had a few calls asking what physicians can do. Since BCBSTX has state employees, we suggested reaching out to your legislators. It seems unfair for patients and physicians to be caught in the middle of the clash of the titans.
Just when you thought you could believe 11/13/20
According to United HealthCare there will no longer be a Provider Advocate, as in the past. Please follow the links from the previous post (UHC New Service Model for Claim Reconsideration, July 9, 2020) for information on UHC’s new service model, how to check eligibility and benefits, referrals, Auths and claim reconsideration, etc.. Click here to review email from UHC.
HSConnect Integration Issue, Cigna HealthSpring?
Here is the Help Desk Information
(866) 952-7596
When emailing, please send print screens of the error or problem.
Cigna’s response to COVID-19
Cigna Coronavirus (COVID-19) Interim Billing Guidance for Providers for Commercial Customers. Updated October 30, 2020 – Highlighted text indicates updates.
As the COVID-19 pandemic continues, we appreciate that providers across the country are on the front line to offer dedicated care to our customers and help protect local communities.
As federal guidelines continue to evolve in support of the COVID-19 pandemic, we have again extended our interim coverage accommodations for commercial Cigna medical services, as follows:
- The cost-share waiver for COVID-19 diagnostic testing and related office visits is extended until January 21, 2021.
- The cost-share waiver for COVID-19 related treatment is extended until December 31, 2020.
- Some other interim accommodations (e.g., for credentialing and authorizations) are extended through December 31, 2020, as outlined on this page.
- The interim COVID-19 virtual care guidelines as outlined on this page are in place until December 31, 2020. Beginning January 1, 2021, we will implement a new Virtual Care Reimbursement Policy. Please visit CignaforHCP.com/virtualcare for additional information about this new policy.
Time Change
Time Changes this week-end.
HSConnect is Integrating 10/30/2020
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