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FLASH: Consultation Codes

After careful consideration, Health Alliance™ has made the decision to stop covering consultations billed with codes 99242-99245 and 99252-99255. Providers should bill the appropriate evaluation and management code in place of the consultation codes. Health Alliance will continue to cover any add-on codes if additional time is needed to evaluate the patient. This change will be applicable to dates of service starting on January 1, 2025. This new rule will apply to all lines of business, including group, individual and Medicare Advantage.

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FLASH: Training Reminder: Provider Portal Overview

This is a reminder to register for the Health Alliance™ Fall Education Series that will focus on our provider portal. In our latest provider surveys, you told us that there’s a need for better understanding of our portal and the various functions that can be accomplished in it.

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FLASH: Prior Authorization Changes for 2025

Each year, Health AllianceTM performs a comprehensive review and analysis around services needing prior authorization. As a result of our recent review, we are preparing to remove several items from prior authorization effective 1/1/25.

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FLASH: Pharmacy and HCMD List Changes for October 2024

Pharmacy Updates

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October 2024 Newsletter

Falling into Gratitude Autumn is a wonderful time of year. With the leaves changing colors and a freshness in the air, there’s a sense of renewal, beauty and hope. And for us, there’s also a deep sense of gratitude. We’re thankful for all that YOU do to keep our members healthy and well. This time of year especially, as the days begin getting shorter and the last months of 2024 begin speeding into 2025, we’re ever reminded of just how much you’ve done for our members from January through spring and summer and beyond. All year, every day, we’re so grateful that you’re at their side.

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