News
| BMI Administers Federal Insurance Plan in Iowa | |
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| Benefit Management, Inc. (BMI) of Kansas has been awarded the Iowa contract for administration of the new Federal Pre-Existing Condition Insurance Plan. | |
| New TPA for Creighton Student Plan | |
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| Macori Administration has assumed responsibility for administration of claims incurred by Creighton University students enrolled in the student health insurance plan endorsed by the university. | |
| Aetna Policy and Practice Updates | |
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| Aetna lists coding and policy changes for anesthesia/pain management, durable medical equipment rental, injection and vertebroplasty. | |
| President's Message | |
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| For the last 14 months, healthcare reform has dominated the headlines and, for those of us in the healthcare industry, many of our conversations. Yet there's so much more to be said.
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| Magellan Behavioral Health Network | |
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| Effective May 1, 2010, the Magellan network was available to members of fully insured Principal groups. For providers who contract with both Magellan and Midlands Choice, Magellan contract provisions will supersede. | |
| Online Claims Save Time and "Green" | |
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| Midlands Choice now has an online method for submitting CMS-1500 claims at no charge. | |
| Aetna Payment Estimators Help Determine Patients’ Costs | |
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| New online payment estimator tools for providers and members are now available from Aetna. | |
| 5010 Preparation Under Way | |
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| The Department of Health & Human Services has mandated that the healthcare industry must use the new HIPAA version 5010 electronic transactions standards by January 1, 2012. | |
| CIGNA ID Card Brochure | |
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| A recently updated brochure includes samples of CIGNA cards, including the new card for groups previously administered by Great-West Healthcare.
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| Groups Access Network through Sanford Health Plan | |
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| Three Midlands Choice employee groups, 1st Financial Bank USA, Great Western Bank and Affiliates, and Siouxland Mental Health Services, access the Midlands Choice network through the Sanford Health Plan. | |
| Webinar Invitation List | |
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| We anticipate offering free coding webinars in the coming months. If you would like to be receive an invitation, please let us know. | |
| Five Steps to a Successful Appeal | |
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| A well-prepared, properly documented appeal saves time in the long-run and can help improve chances of achieving the desired outcome. | |
| Rehabilitation Order Issued for American Community | |
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| On April 8, 2010, Ingham (Michigan) County Circuit Court Judge William E. Collette issued a Rehabilitation Order placing American Community Mutual Insurance Company, a Midlands Choice payer, into Rehabilitation. | |
| Great-West Accesses Midlands Choice in South Dakota | |
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| Effective April 1, 2010, approximately 70 groups administered by Great-West Healthcare will begin accessing the Midlands Choice network in South Dakota. | |
| Highlights of 2010 CPT Changes | |
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| For 2010, there are 219 new CPT codes, 141 that have been revised and 63 that were deleted. | |
| South Dakota Group Accesses Midlands Choice Network | |
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| Priests of the Sacred Heart, a 250-employee group primarily located in Chamberlin, S.D., began accessing the network January 1, 2010. | |
| CIGNA and Great-West Healthcare Precertification | |
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| Combined precertification requirements for CIGNA and the former Great-West Healthcare have been updated to incorporate 2010 Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes. | |
| Aetna Student Health Plans Addresses Have Changed | |
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| Send claims and appeals for Aetna Student Health Plans to the correct addresses. | |
| Aetna Online Resources | |
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| Aetna provides convenient online tools for precertification,as well as frequent updates of clinical policy information. | |
| Keep Us Up to Date on Demographic Changes | |
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| Payment errors caused by mis-matches between information on claim forms and records in our database cause delays that can take two or three billing cycles to get corrected. | |
| NaviNet Link Includes Access to Both Aetna and CIGNA | |
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| With a single username and password, physicians, clinicians, office managers and staff can obtain access to financial, clinical and administrative information for both Aetna and CIGNA through the NaviNet website. These services are available at no cost to providers. | |
| Nebraska Law Impacts Lab Billing | |
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| A Nebraska law (LB 394) that is effective Jan. 1, 2010, requires changes in laboratory billing practices. | |
| New Great-West ID Cards | |
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| Beginning with January 2010 account renewals, Midlands Choice network members with coverage previously administered by Great-West Healthcare will receive new ID cards. | |
| Questions About Our Website? | |
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| To assist providers with navigating this site, we have posted a Web Guide to answer many of the questions you may have. | |
