For Healthcare Providers

Coverage for employees of the City of West Des Moines will move from Principal to Coresource, effective July 1.

Winneshiek Medical Center, Decorah, Ia., will move its coverage from Principal to Midwest Group Benefits, effective July 1.

By implementing a combination of strategies, clinic and billing office staffs at Physicians Clinic Iowa in Cedar Rapids have significantly reduced their claim denial rate and lag time between service and payment.

The University of Nebraska Medical Center student plan will access the Midlands Choice network with Macori, Inc., as payer.

Progressive Swine Technologies will begin accessing the Midlands Choice network on July 1.

Effective September 1, 2011, Christian Brothers Services will replace Principal as the payer for the Diocese of Grand Island and Divine Word College.

CIGNA has changed how it administers preventive care claims.

Effective during the second half of 2011, MedSolutions will provide radiology benefit management services for CIGNA nationwide.

Aetna offers electronic precertification transactions and tools on its secure provider website.

Effective July 1,2011, Aetna requires precertification for outpatient endoscopy, arthroscopy and laparoscopic cholecystectomy.

All parties associated with the transmission and processing of EDI transactions must ensure that their systems are properly converted to the new requirements.

Several Aetna clinical payment, coding and policy changes are effective September 1, 2011.

Read a summary of recent updates to CIGNA's coverage policies.

Coverage for employees of Floyd Valley Hospital will move from Principal to DakotaCare, effective July 1.

Coverage for employees of Methodist Health System and Jennie Edmundson Hospital will move from Principal to FMH CoreSource as of August 1.