For Healthcare Providers

Benefit Management, Inc. (BMI) of Kansas has been awarded the Iowa contract for administration of the new Federal Pre-Existing Condition Insurance Plan.

TRISTAR Insurance Group, a third party administrator based in Long Beach, CA, has acquired American Administrators.

For groups covered through Aetna Signature Administrators, do not send claims to Aetna or to Midlands Choice.

The 2010-2011 edition will be the last paper directory we publish that is available for free to members, providers and payers.

A Lincoln, NE, radiology imaging center, Advanced Medical Imaging (AMI), has a 95 percent first-pass success rate for Midlands Choice claims.

Benefit Management, Inc. (BMI) of Kansas has been awarded the Iowa contract for administration of the new Federal Pre-Existing Condition Insurance Plan.

When CMS published the ICD-10-CM/PCS Final Rule in January 2009, there were 58 months' lead time to prepare for the rule's October 2013 effective date. A third of those months have passed.

An employee benefits and human resources consultant recently surveyed thousands of employees and dependents covered by employer-sponsored healthcare plans. More than 80 percent of respondents said smart choices in daily life have the most influence on health, even more influence than affordability or access.

CIGNA has published a global maternity reimbursement policy that was effective August 1, 2010, for CIGNA patients and will be effective October 1, 2010, for former Great-West Healthcare benefit plans.

CIGNA has reduced its list of code combinations requiring supporting documentation by approximately 25 percent.

As of September 1, 2010, patients covered by Aetna may obtain estimates of out-of-pocket costs from Aetna's secure member website.

As of September 1, 2010, LabCorp will no longer be an in-network provider for Aetna.

Effective June 28, 2010, individuals covered by American Family began accessing the Midlands Choice network.

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 lists coding and policy changes.