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October Informed Newsletter

A Fond Farewell – and a Depth of Gratitude For almost half a century, we’ve partnered with our communities’ doctors and other healthcare providers to create meaningful change in patients’ lives. It’s been our deepest honor to work with you throughout the years as together we’ve helped countless individuals on their journeys of health and well-being. Thanks to you, we’ve been able to boast of networks that have included the most highly skilled, compassionate providers who always put our members first.

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FAQs – Providers

Discontinuation of Medicare and Commercial Lines of Business

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FLASH: Updated Inpatient Peer-to-Peer (P2P) Process – Effective Immediately

Due to the health plan closure and associated staff reductions, we are implementing a revised Peer-to-Peer (P2P) process to ensure timely and appropriate clinical reviews.

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July Informed Newsletter

A Message of Thanks It’s hard to believe it’s July already. We know that summer is an especially busy time for you, so we wanted to express our deepest thanks for all you do for our members. It’s your expertise, hard work and compassion that keeps our members healthy, and our gratitude is beyond words. Thank you for being our dedicated partner.

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Expanded Availability for Skilled Nursing Facility (SNF) FAST PASS Authorization Process

The Fast Pass Authorization process has been available for use on weekends and holidays since October 2021. This process helps acute care facilities expedite the review and authorization for members needing SNF admission and provides assurance of claims payments when criteria are met without the need for a traditional prior authorization approval.

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