Tag: Referral

COVID-19 news from UnitedHealthcare, April 20th, 2021

 Author: Seymore Bones  Published Date: April 20, 2021  Leave a Comment on COVID-19 news from UnitedHealthcare, April 20th, 2021

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PHE Extended

 Author: Seymore Bones  Published Date: April 20, 2021  Leave a Comment on PHE Extended

HHS Secretary Xavier Becerra has renewed the public health emergency (PHE) for COVID-19 effective April 21, 2021. This extension will effectively continue all telehealth waivers and other flexibilities pursuant to this determination. As with previous determinations, the renewed PHE will terminate 90 days after its effective date on Tuesday, July 20, 2021, unless it is further extended. The Biden administration has previously indicated that it intends to continue extending the COVID-19 PHE at least for the remainder of 2021.

MGMA ~ Drew Voytal

HSConnect Headache??

 Author: Seymore Bones  Published Date: January 26, 2021  Leave a Comment on HSConnect Headache??

THERE IS RELIEF INSIGHT!!

To align with the recent extension of the federal public health emergency (PHE) period, Cigna is again extending the cost-share waiver for COVID-19 testing and testing-related services through April 20, 2021.

  • Referrals requirements for in-network providers & out-of-network providers are waived through 04/20/2021.
  • Providers do not have to go into HSConnect/MHK for referrals, but they will need to continue doing pre-certs for any services that require them.
  • Specialists should accept members without a referral during this time. Referral requirements for in-network providers & out-of-network provider are waived through 04/20/2021.

For the most up to date information please go to https://medicareproviders.cigna.com/

UHC Provider Resources Regarding the “Link” Portal. Received by POET on 7/1/2020

 Author: Seymore Bones  Published Date: July 9, 2020  Leave a Comment on UHC Provider Resources Regarding the “Link” Portal. Received by POET on 7/1/2020

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UnitedHealthcare Out-of-Network Referrals: Prior Approval, Patient Consent By Ellen Terry

 Author: Seymore Bones  Published Date: February 6, 2020  Leave a Comment on UnitedHealthcare Out-of-Network Referrals: Prior Approval, Patient Consent By Ellen Terry

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UnitedHealthcare Out-of-Network Referrals: Prior Approval, Patient Consent

 Author: Seymore Bones  Published Date: February 6, 2020  Leave a Comment on UnitedHealthcare Out-of-Network Referrals: Prior Approval, Patient Consent

By Ellen Terry, An Article by TMA

If you are a UnitedHealthcare (UHC) participating physician referring a patient out of network in a non-emergency, you’re now required to first obtain either (1) prior approval from UHC; or (2) the patient’s written consent.

 

To review the entire article follow this link.

BCBS Introducing a New Prior Authorization and Referral Submission Tool.

 Author: Seymore Bones  Published Date: January 10, 2020  Leave a Comment on BCBS Introducing a New Prior Authorization and Referral Submission Tool.

Click here to read Mailing from BCBS.

BCBS: Introducing a New Prior Authorization & Referral Submission Tool Via Availity 12/27/19

 Author: Seymore Bones  Published Date: January 10, 2020  Leave a Comment on BCBS: Introducing a New Prior Authorization & Referral Submission Tool Via Availity 12/27/19

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