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Category: Informed Flash

Sarah Bush Lincoln Leaves Network

April 11, 2018

Sarah Bush Lincoln Health Center gave notice that it will end its contract with us on June 30, 2018. This means as of July 1, 2018, Sarah Bush Lincoln will be considered out-of-network for our commercial group and individual members. While we are disappointed in the decision, we’d like to... View Release

FLASH: More Claims Editing Enhancements Coming in March

February 27, 2018

Principal or Primary Diagnosis for Chemotherapy Administration According to the ICD Manual guidelines, encounter for antineoplastic chemotherapy (ICD-10 code Z51.11) or encounter for antineoplastic immunotherapy (ICD-10 code Z51.12) must be the principal or primary diagnosis, followed by the diagnosis of the current acute disease or injury for chemotherapy administration (96401-96450,... View Release

FLASH: Asking Is Key for Chlamydia Screening

February 20, 2018

Dr. Kristine Carpenter, a Carle family medicine OB-GYN in Mattoon, IL, boasts high numbers when it comes to chlamydia screening rates. While the subject matter is sometimes tricky to approach, there is nothing tricky about her approach at all. “What’s really interesting is there’s nothing really earth-shattering about it,” Carpenter... View Release

FLASH: Freestyle Libre Covered Under DME Benefit

February 14, 2018

There’s a new blood glucose-monitoring device, called Freestyle Libre, which uses sensor needle pads for continuous glucose readings instead of frequent finger sticks. While this device is available through certain DME providers and in retail pharmacies, we are only covering the Freestyle Libre under the DME benefit. We cover all... View Release