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Category: InforMED Flash

FLASH: More eviCore Online Training Sessions

March 1, 2017

As we’ve shared before, starting March 1, 2017, we will partner with eviCore, a national specialty benefit management company that focuses on managing quality and use for better outcomes for our patients, providers, and Health Alliance. For dates of service on or after March 13, you must request preauthorizations through... View Release

FLASH: May 2017 Preauthorization Changes

March 1, 2017

As we’d shared in our February newsletter, we notified offices of the May 1 preauthorization changes. However, sleep studies was missing from that notification. See the full listing of services that will require preauthorization effective May 1 below. These preauthorizations will handled by eviCore. Sleep studies Genetic testing Outpatient medical... View Release

FLASH: Clear Coverage Training Sessions

February 27, 2017

In addition to the eviCore trainings that you may have attended, we’re adding Clear Coverage training for your specific specialty. We know many of you are actively preparing for our upcoming preauthorization requirements, and we want to make sure you’re getting the training you need for these changes. For dates... View Release

FLASH: Preauthorizations for Durable Medical Equipment

February 3, 2017

Starting March 1, 2017, you should submit preauthorization requests for durable medical equipment (DME), home health, and home oxygen through Clear Coverage instead of through our preauthorization forms on Your Health Alliance for providers. If you need help with Clear Coverage access, contact your provider relations specialist.

FLASH: eviCore Preauthorization Online Training Sessions

January 10, 2017

Starting March 1, 2017, we will partner with eviCore, a national specialty benefit management company that focuses on managing quality and use for better outcomes for our patients, providers, and Health Alliance. eviCore will manage some preauthorization services for our commercial and Medicare lines of business to help us address... View Release