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Northwest August Newsletter 2021

Always at Your Side As summer begins to turn into fall, we want to remind you that we’re always here for you – with information, resources, helpful tools and answers to any questions you may have. We know how hard you work keeping our members healthy, and we’re dedicated to always being there for you to help however we can. As always, reach out to your provider relations specialist and let us know what you might need, how we can help you and ways we can make your job easier. We’re grateful for all you do.   

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Midwest August Newsletter 2021

Always at Your Side As summer begins to turn into fall, we want to remind you that we’re always here for you – with information, resources, helpful tools and answers to any questions you may have. We know how hard you work keeping our members healthy, and we’re dedicated to always being there for you to help however we can. As always, reach out to your provider relations specialist and let us know what you might need, how we can help you and ways we can make your job easier. We’re grateful for all you do.   

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FLASH: Provider Portal Improvements

We value our relationship with our providers, and we lean on you to give us honest advice about how we can make our services, processes and communication better. Thanks to your feedback, we’ve made some great changes. Please see this PDF, which highlights those improvements.

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FLASH: New Appeals Process Effective 8/1/2021

To maintain an organized and thorough provider appeals process, we continually review our own process efficiency as well as that of our provider community, and we also review the timeliness of appropriate resolutions.

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FLASH: Altruista-Guiding Care Upgrade

Altruista-Guiding Care will be undergoing a system upgrade beginning Friday, June 25th at 5:30 PM CST, 3:30 PM PST until 8:00 AM CST, 6:00 AM PST Monday, June 28th. The system will be unavailable during the upgrade and you won’t be able to submit Altruista prior authorization requests. Please hold your requests until the morning of Monday, June 28th.

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