This statement is to inform you that beginning 03/01/2022, medical claims for vaccines eligible for coverage under Medicare Part D that are billed to Health Alliance™ will be disallowed. This change is being made to better reflect current industry standards, better follow CMS guidance and to allow a more straightforward billing process to better serve our members.
Friendly reminder for providers and facilities caring for members that need organ or stem cell/bone marrow transplants, please use the checklists provided to ensure authorizations are completed as accurately as possible.
The latest member eligibility file has been loaded properly and Altruista functionality has been restored.
***NOTICE*** The latest member eligibility file did not load properly into our system, so you may experience problems with eligibility, member searches and obtaining prior authorizations in Altruista Guiding Care. We are working to resolve the issue and appreciate your patience.
Wishing You a Happy Holidays It’s hard to believe, but 2021 is almost in the rearview mirror. We simply can’t thank you enough for all you’ve done this past year to help keep our members healthy. You always go above and beyond to provide exceptional care, and we deeply value working with you. We wish you a happy and healthy holidays, and we hope you have an opportunity to rest, recharge, relax – and realize just how much you’ve accomplished this past year. Thank you.