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CORRECTION: Flash – Preauthorization Is Moving to Guiding Care – Don’t Miss Out On Training

In yesterday's flash regarding the Guiding Care Pre-Authorization Training, the email address to receive a copy of the presentation should be Provider.Relations@healthalliance.org . We apologize for any confusion. If you have questions, please contact your provider relations specialist.

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FLASH: Preauthorization Is Moving to Guiding Care – Don’t Miss Out On Training

For dates of service on or after January 1, 2020, Clear Coverage and the Health Alliance portal will be replaced with a new preauthorization system called Guiding Care. Providers and their office staff members are invited to join one of our upcoming webinars to learn more about Guiding Care. 

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FLASH: Provider Directory Updates through LexisNexis

As you know, it is vital your patients have access to accurate, up-to-date information in the provider directory. To ensure this accuracy, the Illinois Department of Human Services, the Illinois Department of Insurance, and the Centers for Medicare & Medicaid Services all require that providers review and update their information quarterly or whenever there is a significant change.

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FLASH: CPT Codes 27279 and 27280 Now Managed by eviCore

As of 8/1/19, CPT codes 27279 and 27280 are now managed by eviCore and both require PA. When selecting the CPT code for a case, you’ll receive the message below:

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Carle October Newsletter 2019

As It Relates to You Different Types of Medicare It’s time once again for the Medicare Annual Enrollment Period, which takes place October 15 through December 7. While deciding what enrollment options are best for them, patients may come to you with questions. Here’s a quick review of some of the different types of Medicare coverage:

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