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Provider Communications

2017

October 23, 2017
2017 year-end provider incentive program to improve member health outcomes (PDF)

October 12, 2017
New list of HCPCS codes requiring prior authorization (PDF)

September 25, 2017
New requirement for expedited authorization requests (PDF)

August 24, 2017
New submission guidelines for corrected, replacement, or voided claims (PDF)

July 25, 2017
New submission guidelines for Medicare dual eligible claims (PDF)

July 9, 2017
Basaglar human insulin analog (PDF)

May 5, 2017
Clinical policies now available (PDF)

May 2, 2017
Services requiring prior authorization (PDF)


2016

July 27, 2016
Zika virus update: Insect repellant added to expanded benefits (PDF)

May 30, 2016
Target pharmacy no longer in Prestige pharmacy network (PDF)

May 26, 2016
Prestige looks to ensure accurate encounter data (PDF)

April 21, 2016
Electronic remittance advice (ERA) modifications (PDF)

April 13, 2016
The Agency for Health Care Administration issues on-site activities alert (PDF)

February 12, 2016
Emdeon rebranded as "Change Healthcare" (PDF)

February 12, 2016
New requirements on claims for specific services (PDF)
Ordering, referring, or prescribing practitioner's name and NPI required

February 04, 2016
Notification of express enrollment for Medicaid recipients (PDF)


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