May 2010
| President's Message 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. Online Claims Save Time and "Green"Midlands Choice now has an online method for submitting CMS-1500 claims at no charge. Aetna Payment Estimators Help Determine Patients’ CostsNew online payment estimator tools for providers and members are now available from Aetna. CIGNA ID Card BrochureA recently updated brochure includes samples of CIGNA cards, including the new card for groups previously administered by Great-West Healthcare. Groups Access Network through Sanford Health PlanThree 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 ListWe 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 AppealA 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 CommunityOn 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 DakotaEffective April 1, 2010, approximately 70 groups administered by Great-West Healthcare will begin accessing the Midlands Choice network in South Dakota. Aetna Student Health Plans Addresses Have ChangedSend claims and appeals for Aetna Student Health Plans to the correct addresses. 5010 Preparation Under WayThe 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. |
