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Category: InforMED Newsletter

Washington December Newsletter

January 3, 2017

2017 Preauthorization Changes and Clarifications In our October Newsletter, we notified you that hospitals need to notify us of any observation stays, effective January 1. These details clarify this requirement: For commercial members, Health Alliance must be notified of any observation stays that are longer than 24 hours. For Medicare... View Release

Midwest December Newsletter

December 6, 2016

2017 Preauthorization Changes and Clarifications In our October Newsletter, we notified you that hospitals need to notify us of any observation stays, effective January 1. These details clarify this requirement: For commercial members, Health Alliance must be notified of any observation stays that are longer than 24 hours. For Medicare... View Release

Washington October Newsletter

October 17, 2016

2017 Preauthorization and Notification Changes – Effective January 1, 2017 In addition to notifying Health Alliance for inpatient admission, facilities will need to begin notifying us of any observation stays. You must notify us within 24 hours, or the next business day if it’s a holiday. Online Claims Reprocessing Inquiries... View Release

Midwest October Newsletter

October 7, 2016

Changes Coming to Health Alliance Medicare This year, we’re offering Medicare Advantage point of service (POS) plans rather than preferred provider organization (PPO) plans. Since these members are already your patients, the transition for you will be easy. Members on our 2016 PPO plans were sent letters telling them their... View Release

Washington August Newsletter

September 14, 2016

Online Claims Reprocessing Inquiries Coming Soon We’re moving claims reprocessing inquiries onto Your Health Alliance for providers. You’ll be able to track the status on inquiries easily on the site, and it will eliminate tedious and time-consuming paperwork. You can send inquiries for many reasons, including: Timely filing Coding No... View Release