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Time Change
Time Changes this week-end.
HSConnect is Integrating 10/30/2020
Cigna HealthSpring Medicare Advantage PCP E-Newsletter October 2020
Below are this month’s topics:
- COVID-19 Impact on Native American and Hispanic Populations
- COVID-19 Provider Resources
- CAHPS Corner – Vaccination Focus
- October is Liver Awareness Month
Humana Support 10/1/2020
Information from Humana “September 2020 Provider Communication”
Did you know that we have Electronic Funds Transfer, or EFT, available for provider payments? EFT eliminates the need for paper checks. Payments will occur automatically, saving time, reducing mail, and giving you peace of mind. For information on how EFT works or to set up your account on EFT, please send an email to [email protected].
A schedule of upcoming web-based training sessions is also available in the BBS Documentation folder (under Simple Resources and tools>Training Opportunities). Sessions are created from the provider’s perspective and intended to meet the needs of new users as well as those in a more established organization.
Documentation and resource materials are available in the Service Fund Download section of Availity.com. For those with direct FTP access, this information is contained within each unique folder. Materials are located in the following sections under “Documentation”:
- Data File Layouts – Both current and updated layouts are included. Highlighted text indicates either a new or revised field.
- Humana Notices to Providers – A copy of this letter is available.
- Simple Resources and tools
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- Training Opportunities – 2020 webinars
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For questions regarding Service Fund or Service Fund processes, or to request Service Fund training, please send an email to [email protected]. Be sure to include identifiable information such as your provider or organization name, address, Humana ID number, etc.
Cigna HealthSpring and CIOX Health
CIOX is here to help with the medical record retrieval and to work with the provider offices. Some options for the provider, depending on their specific needs/protocols are:
- For the staff to collect and submit the medical records
- To have CIOX come in to the clinic to collect the medical records in a designated work space and computer/laptop
- To set up remote EHR access for the CIOX representative to remote in to collect medical records
AND MEDICAL RECORD RETRIEVAL HELPS WITH RISK SCORES.
Provider Roster Updated 09/15/2020
Roster was updated to reflect UHC All Products effective 9/15/2020. Click to review.
Aetna OfficeLink Updates, Published 9/1/2020
- Changes to the National Pre-Certification List
- Third Party Claim and Code Review Program
- And many interesting topics
AIM Specialty Health (AIM) to Perform Utilization Management for:
Participants with three-character prefixes of T2U and T2S (Group #3850X -last digit varies by plan) who are under 65 years of age and are active employees.
This is referring to TRS ActiveCare Patients.
To log in to “AIM” click the blue text.
To review the “AIM” training slide deck, click here.
UPCOMING Provider/Portal Training Dates
- Advanced Imaging & Cardiology: Tuesday, Sept. 15 (10 AM-11 AM)
- Sleep Medicine: Wednesday, Sept. 16 (12 PM-1 PM)
- Joint and Spine Surgery:Thursday, Sept. 17 (12 PM-1PM)
- Pain Management: Tuesday, Sept. 15 (9 AM-10 AM)
- Radiation Therapy: Thursday, Sept. 17 (3 PM-4PM)
- Genetic Testing Services: Tuesday, Sept. 15 (12 PM -1 PM)
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