October 2019

Featured Story: Verify member eligibility and claims status through the provider portal

We know that your time is valuable and that you expect a quick response when you call us. In order to reduce the time it takes to connect you with a provider service representative, we will direct all routine claims and eligibility inquiries to the provider portal beginning on January 1, 2020. 

Also in this newsletter:

  • How are we doing? Take the annual satisfaction survey
  • New in 2020: No copays for the first three pediatric sick visits
  • Register for electronic funds transfer and get paid sooner
  • Payment policy guidelines
  • Hospital inpatient utilization report
  • Formulary updates
  • Medical policy

Read more

September 2019

Featured Story: Coming soon - submit medical specialty drug requests online

We're excited to announce a new way to obtain medical specialty drug prior authorization. From the AllWays Health Partners provider portal, you will have direct access to submit your medical specialty drug requests online through the NovoLogix prior authorization system - no additional registration or login required! 

Also in this newsletter:

  • Reminder: HPV vaccine covered for all members through 45
  • Behavioral health for children and adolescents
  • Antidepressant adherence
  • Drug fee schedules to be updated
  • Medical policy
  • Code Updates and Reminders

Read more

August 2019

Featured Story: eviCORE checklist to speed up Prior Authorizations

We're here to save you time and hassle with eviCORE, a new checklist to streamline Prior Authorizations. 

Also in this newsletter:

  • Provider Directory Solution
  • Formulary Updates
  • Code Updates and Reminders

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July 2019

Featured Story: AllWays Health Partners Switches to InterQual 2019

To align with the latest industry standards, AllWays Health Partners updates our criteria at least annually. InterQual updated their guidelines in May, and AllWays Health Partners will move to InterQual 2019 on August 26, 2019.

Also in this newsletter:

  • Three Ways to Get the News You Need
  • New Online Provider Directory Now Available
  • Pharmacy Updates
  • EAPG Hospital Claims Reprocessing
  • Medical Policy
  • Thank You From The HEDIS Team
  • Hospital Inpatient Utilization Report

Read more

June 2019

Featured Story: We Are Growing

More and more members and employers are selecting AllWays Health Partners because of our comprehensive coverage, innovation, and world-class provider network.

Also in this newsletter:

  • Reminder: Your Laboratory Claims Will Reject If the Referring Provider Field is Incomplete
  • GIC Plan Year Begins on July 1
  • HCAS Provider Directory Newsletter
  • Formulary Updates
  • Drug Fee Schedules To Be Updated
  • Medical Policy
  • Code Updates

Read more

May 2019

Featured Story: RSVP Today For Our June 14 Provider Meeting

AllWays Health Partners Provider Relations is hosting our next meeting on Friday, June 14th at our headquarters in Assembly Row, Somerville. Join us to hear the latest news and updates.

Also in the newsletter:

  • Provider Blog
  • Important: Your Lab Claims Will Reject If the Referring Provider Field Is Incomplete
  • Formulary Updates
  • Medical Policy
  • Code Updates and Reminders

Read more

April 2019

Featured Story: Provider Resources

Check out our Provider Resources webpage with important information for you and your staff. Access useful tools such as claims and authorization information.

Also in this newsletter:

  • How Are We Doing?
  • Formulary Updates
  • Medical Policy
  • Code Updates
  • Hospital Inpatient Utilization Report

Read more

March 2019

Featured Story: Stay Connected With Us

AllWays Health Partners is committed to getting you the information and updates you need to easily do business with us. Sign up for our Provider Blog and follow us on Twitter.

Also in this newsletter:

  • Provider Directory Survey
  • CareCentrix
  • 2019 Fee Schedule Updates
  • AllWays' Social, Provider Blog, and Network
  • HEDIS Data Collection

Read more

February 2019

Featured Story: AllWays Health Partners Provider Resources

Access quick reference guides to support you with our transition to AllWays Health Partners.

Also in this newsletter:

  • HEDIS Data Collection
  • Formulary Updates 
  • Annual Updates To Physician and Outpatient Reimbursement
  • Medical Policies 
  • Contact Information

Read more

January 2019

Featured Story: Provider Portal

Our Provider Portal is your primary resource for managing your AllWays Health Partners patients. Access the Provider Portal today at allwaysprovider.org.

Also in this newsletter:

  • Quick Reference Guides
  • Claims Information
  • Reminder: Notification to Medicare of Insurance Changes
  • New January 2019 Codes
  • Hospital Inpatient Utilization Report
  • Medical Policies Effective Jan 1st, 2019
  • Contact Information

Read more