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11/13/2020
Notice of Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements. ..
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11/03/2020
CareCentrix and Cigna Partnership
To notify participating providers contracted to service Cigna members of changes to processes related to service registration andauthorizations, claims, and coordination of services with CareCentrix for Cigna members...
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10/29/2020
Charging Patients for Personal Protective Equipment
To notify CareCentrix network providers of a State of New York mandate prohibiting charging patientsfees for personal protective equipment. ..
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10/15/2020
Notice of Prior Authorization Requirements and Changes to Prior Authorization Requirements ¿ October 2020
To provide information on CareCentrix¿s prior authorization requirements and changes to those requirements...
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10/14/2020
Changes to Provider Demographic Information ¿ Q4
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application. ..
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10/14/2020
Notice of Medicare Non Coverage (NOMNC) Instructions and Forms ¿ Q4
To remind network home health agencies that provide services to Florida Blue (BlueMedicareSM) or Coventry Medicare Advantage members of the Notice of Medicare Non-Coverage (NOMNC) process...
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10/07/2020
FDA Recall - BD Module 8100 and Module Door Kits
We are writing to inform you that effective immediately the FDA has issued a Class I recallof BD CareFusion 303¿s Alaris Pump Module model 8100 and Pump Module Door AssemblyReplacement Kits, part numbers 49000346, 49000239, 49000438 and 49000439manufactured 12/1/2016 to 1/..
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09/22/2020
FDA Recall - BD Carefusion Alaris System Hardware
We are writing to inform you that effective immediately FDA has posted an announcementby BD (Becton, Dickinson and Company) of an update to their previously announcedvoluntary recalls issued on August 4, 2020. The recalls have now been updated to FDAClass I and II designat..
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09/18/2020
FDA Recall - BD ALaris Syringe and PCA Pumps
To notify providers that effective immediately the FDA has issued a Class I recall of BD CareFusion 303, Inc. Alaris Syringe Module-model 8110, Alaris PCA Module-model 8120, and Syringe/PCA Sizer Sensor Replacement Kit-P/N 122786 manufactured from March 1, 2010 to present ..
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09/15/2020
FDA Recall - BD Alaris PC Unit
To inform providers that that effective immediately the FDA has issued a Class I recall of BD CareFusion 303, Inc.¿s Alaris System PC unit and PC unit front case keypad replacement kits manufactured from April 7, 2017 to June 15, 2020 and distributed from April 12, 2017 to..
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09/15/2020
Changes To Prior Authorization Requirements
To provide information on CareCentrix¿s prior authorization requirements and changes to those requirements...
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09/03/2020
FDA Recall - BD Alaris Pumps Recall
We are writing to inform you that effective immediately the FDA has announced a Class I recall as an update to their previously announced voluntary recall on June 30, 2020 of BD Alaris System Hardware. The hardware issues may cause the infusion pump to not operate as expec..
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08/17/2020
Notice of Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements. ..
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07/18/2020
Notice of Prior Authorization Requirements and Changes to Prior Authorization Requirements
To provide information on CareCentrix¿s prior authorization requirements and changes to those requirements. ..
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07/17/2020
Supported Web Browsers
To notify providers of a change to the web browsers supported by CareCentrix when accessing HomeBridge¿ (www.carecentrixportal.com). ..
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07/15/2020
FDA Recall - CME America Infusion Sets
We are writing to inform you that effective immediately the FDA has issued notice of avoluntary recall by CME America of all BodyGuard Infusion System Administration Sets foruse with their BodyGuard Infusion Pumps distributed beginning in May, 2016. This recallannouncement..
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07/09/2020
FDA Recall - Daptomycin for Injection
We are writing to inform you that effective immediately, the FDA has issued a voluntarynationwide recall to the consumer level of one lot of Daptomycin for Injection, 500 mg/vialdue to the presence of particulate matter found in one single-dose vial manufactured byMylan La..
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07/01/2020
Changes to Provider Demographic Information
To remind providers that they must timely notify CareCentrix of any changes in theirdemographic information or changes to the information submitted in their CareCentrixcredentialing application...
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07/01/2020
Notice of Medicare Non Coverage (NOMNC) Instructions and Forms
To remind network home health agencies that provide services to Florida Blue (BlueMedicareSM)or Coventry Medicare Advantage members of the Notice of Medicare Non-Coverage (NOMNC)process. ..
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06/15/2020
Notice of Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements. ..
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06/01/2020
Enhanced HomeBridge Functionality and Updated Warning Code Tool
To inform providers rendering PAP and PAP supplies to Cigna and Florida Blue members of an update to HomeBridge¿ to proactively notify users of a patient¿s suspension status when registering services...
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05/22/2020
COVID-19 Related Policy Update Applicable to Recoupment Disputes
To support our providers during these exceptional circumstances, CareCentrix is working onproviding an alternate means for submitting recoupment disputes. The below policy change issubject to change as the COVID-19 pandemic evolves. ..
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05/21/2020
New Florida FEP Tool for Providers
To notify providers servicing FLBL FEP members of a new tool available on HomeBridge¿ toprovide helpful coverage information related to home health and durable medical equipmentservices...
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05/21/2020
Aetna Provider Platform Changing From Navinet to Availity
To inform CareCentrix providers servicing Aetna members that effective 6/1/2020, Aetna willsunset the use of Navinet and will utilize Availity only for eligibility and benefit verification. ..
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05/14/2020
Notice of Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements. ..
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05/01/2020
FDA Recall - CME America Pumps and Sets
We are writing to inform you that effective immediately the FDA has issued an update by CME America on 2 previously announced voluntary recalls related to ambulatory infusion pumps and sets...
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04/22/2020
Update: COVID-19 Related Policy Updates Applicable to Durable Medical Equipment (DME) Providers
To support our providers in these exceptional circumstances, CareCentrix is working with our health plan clients to facilitate policy updates during the COVID-19 pandemic. The below policy changes apply to durable medical equipment (DME) providers through 5/31/2020 and are..
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04/21/2020
FDA Recall - B. Braun Medical Ceftazidime Injection
We are writing to inform you that effective immediately the FDA has posted notice of a voluntary recall by B. Braun Medical, Inc. of one (1) lot of 2g Ceftazidime for Injection USP (2g) and Dextrose for Injection USP (50 ml) in Duplex¿ Container to the hospital/user level...
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04/20/2020
Notice of Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements...
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04/20/2020
FDA Recall - Fresenius Kabi Ketorolac Tromethamine
We are writing to inform you that effective immediately the FDA has issued notice of a voluntary recall issued by Fresenius Kabi USA, LLC of 13 lots of their Ketorolac Tromethamine Injection, USP, 30 mg/mL, 1 mL fill in a 2 mL amber vial and Ketorolac Tromethamine Injectio..
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04/09/2020
COVID-19 Related Policy Updates for Home Health Providers
To support our providers in these exceptional circumstances, CareCentrix is working with ourhealth plan clients to facilitate policy updates during the COVID-19 pandemic. These policychanges apply through 5/31/2020 and are subject to extension as the COVID-19 pandemicevolv..
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04/07/2020
COVID-19 Related Policy Updates Applicable to Durable Medical Equipment (DME) Providers
To support our providers in these exceptional circumstances, CareCentrix is working with our health plan clientsto facilitate policy updates during the COVID-19 pandemic. The below policy changes apply to durable medicalequipment (DME) providers through 5/31/2020 and are s..
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04/06/2020
Horizon Providers ¿ Provision of Oxygen Following ER Discharge
To inform providers of process changes related to the provision of home oxygen to help hospitals treat patients efficiently and maximize inpatient capacity during the COVID-19 pandemic...
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04/01/2020
Notice of Medicare Non Coverage (NOMNC) Instructions and Forms
To remind network home health agencies that provide services to Florida Blue (BlueMedicareSM) or Coventry Medicare Advantage members of the Notice of Medicare Non-Coverage (NOMNC) process...
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04/01/2020
Changes to Provider Demographic Information - Q2
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application...
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04/01/2020
Electronic Remittance Advice (ERA) and Electronic Funds Transfer (EFT) Enrollment Reminder
To remind providers of the benefits of enrolling in Electronic Remittance Advice (ERA) andElectronic Funds Transfer (EFT)...
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04/01/2020
Electronic Remittance Advice (ERA) and Electronic Funds
To remind providers of the benefits of enrolling in Electronic Remittance Advice (ERA) andElectronic Funds Transfer (EFT)...
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03/30/2020
FDA Recall - CME America BodyGuard Pumps Recall
We are writing to inform you that effective immediately the FDA has posted a Class 1 recall by CME America of all serial numbers of 5 models of their BodyGuard Infusion Pump Systems manufactured from March 6, 2009 to November 26, 2019 and distributed from March 6, 2009 to ..
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03/26/2020
Florida Blue GatorCare Employer Group Coverage Change: Therapeutic CGMs and Supplies
To notify providers that, effective April 1, 2020, therapeutic continuous glucose monitors(CGMs) and associated supplies will no longer be a covered benefit for patients coveredunder Florida Blue GatorCare employer group plans...
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03/25/2020
HIPPS Codes and Florida Blue Medicare Advantage Home Health Agency Claims
To inform home health agency providers servicing Florida Blue Medicare Advantage patients of a claim edit change impacting claims for care that began in 2019 and continued into 2020 with dates of service through 3/2/2020...
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03/17/2020
Notice of Prior Authorization Requirements
To provide information on CareCentrix's prior authorization requirements and changes to those requirements...
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03/15/2020
Alert: COVID-19 Pandemic
To communicate to providers regarding the COVID-19 pandemic in connection with efforts to protect and support the patients that we mutually serve...
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03/06/2020
FDA Recall - BD Carefusion Alaris Pump
We are writing to inform you that effective immediately the FDA has issued notice of a Class 1 recall by Becton Dickinson (BD) CareFusion 303, Inc. of all lots of the following Alaris System Infusion Pump Modules due to software and system errors..
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03/05/2020
FDA Recall - Hikma Ketorolac
We are writing to inform you that effective immediately, the FDA has issued notice of a voluntary recall by Hikma Pharmaceuticals USA, Inc. of 8 lots of their Ketorolac Tromethamine Injection USP 30mg/ml, 1 ml fill/2ml vials to the medical facility and retail levels due to..
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03/04/2020
Alert: Tennessee Tornado Event
- Severe storms and at least one devastating tornado impacted the state of Tennessee early morning Tuesday March 3rd 2020, resulting in loss of life, properties, power outages and road blocks within the state.- Road blockages as well as 7,000 power outages are being repor..
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02/20/2020
FDA Recall - ResMed Stellar Ventilator
We are writing to inform you that effective immediately the FDA has issued a Class 1 recall of Stellar model 100 and 150 Non-invasive and Invasive Ventilators with serial numbers ranging from 20160123307 to 22171057208 manufactured from April 2016 to June 2017 and distribu..
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02/12/2020
FDA Recall - Minimed 630G and 670G
We are writing to inform you that effective immediately the FDA has issued a Class 1 recall of all lots of Medtronic¿s MiniMed 630G insulin pumps distributed from September, 2016 to October, 2019 and all lots of MiniMed 670G insulin pumps distributed from June, 2017 to Aug..
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01/31/2020
Provider Notification for Florida Blue NextERA Energy Group Patients
To notify providers of the addition of Florida Blue NextERA Energy group patients and theapplicable utilization management process...
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01/17/2020
FDA Recall AXIA Parm Sterile Products
We are writing to inform you that effective immediately the FDA has issued notice of a voluntary recall of all unused sterile drug products within expiration date by AXIA Pharmaceutical due to a lack of sterility assurance...
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01/08/2020
Process for Submitting Requests for Aetna Coventry Medicare
To provide information regarding the process for submitting requests for Aetna Coventry Medicare members in Florida with dates of service on and after 1/1/2020...
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01/03/2020
Changes to Provider Demographic Information
To remind providers that they must timely notify CareCentrix of any changes in theirdemographic information or changes to the information submitted in their CareCentrixcredentialing application...
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01/03/2020
Notice of Medicare Non Coverage (NOMNC) Instructions and Forms
To remind network home health agencies that provide services to Florida Blue (BlueMedicareSM)or Coventry Medicare Advantage members of the Notice of Medicare Non-Coverage (NOMNC)process...
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01/03/2020
Florida Blue Alignment Group Termination for BlueMedicare Preferred HMO Plan
To inform providers that Florida Blue¿s agreement with Alignment is terminating effective 12/31/19 and Florida Blue will not be offering the BlueMedicare Preferred HMO plan in 2020. Patients enrolled in the BlueMedicare Preferred HMO plan have the option to select another ..
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01/03/2020
Medical Coverage Policy Resources
To remind providers that links to health plan medical coverage policies are available throughboth the Provider Manual and the Medical Coverage Policies links on the Provider Portal:HomeBridgeSM at www.CareCentrixPortal.com under the ¿For Providers¿ section...
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12/20/2019
Best Practices for Submitting Paper Claims
To remind providers of best practices for correctly billing paper claims to help avoid claim rejections...
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12/20/2019
Changes to the Health Insurance Prospective Payment System (HIPPS) Codes
To notify home health agency providers that, effective January 1, 2020, the Centers forMedicare and Medicaid Services (CMS) has updated the HIPPS code set for home healthagency claims for services provided to patients covered under a Medicare plan...
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12/06/2019
2020 Benefit Reminders
To remind providers about the importance of confirming a member's proof of eligibility and coverage as the year draws to a close, to ensure authorizations are current, and to provide guidance for successful claims submission..
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11/20/2019
New CIGNA PHS Medical Management Product Effective 1/1/2020
To inform providers about Cigna's new PHS Medical Management products effective 1/1/2020...
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11/14/2019
State of Arkansas Durable Medical Equipment Returns and Reimbursements
To remind DME providers in Arkansas of their obligation to comply with House Bill 1964, which allows patients to return and receive reimbursement for certain purchased DME within thirty (30) days of the purchase. ..
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11/14/2019
Coming Soon: Provider Satisfaction Survey
To encourage providers to complete the Provider Satisfaction Survey that will be released on November 15, 2019...
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11/05/2019
FDA Recall Medtronic Remote Control and Transmitter
We are writing to inform you that effective immediately the FDA has issued notice of a Class 1 recall by Medtronic of MiniMed Model 500 Remote Controls (MMT-500) and 503 Remote Transmitters (MMT-503) distributed August 6, 1999 to July 24, 2018 for use with MiniMed Insulin ..
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11/01/2019
Best Practices to Avoid Claim Rejections
To remind providers of best practices to avoid claim rejections...
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10/30/2019
Coming Soon - CareCentrix Provider Satisfaction Survey
To notify providers of the Annual Provider Satisfaction Survey that will be released in mid-November and encourage them to complete the questionnaire upon receipt. ..
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10/30/2019
Alert: State of Emergency Declared for California
Governor Gavin Newsom of California has declared a statewide emergency due to the current fires and evacuations within the state. This replaces the previous mandate on Friday, October 25...
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10/28/2019
BlueCard Process and Resources Reminder
To remind providers of the BlueCard process and available resources on the Provider Portal:HomeBridgeSM to ensure the correct home plan is contacted when authorization is notobtained by CareCentrix...
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10/10/2019
FDA Recall - ICU Medical Infusion Sets
We are writing to inform you that effective immediately the FDA has published notice of a voluntary recall issued by ICU Medical, Inc. of certain lots of Plum and Sapphire Microbore Infusion Sets with inline filters due to the potential for small amounts of fluid leaking o..
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10/03/2019
Florida Blue BlueCard Claims Update KX Modifier
To inform providers that there is an additional modifier that should be used on claims for CPAP/Bilevel devices and all related supplies for Florida Blue BlueCard patients...
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10/02/2019
Notice of Medicare Non-Coverage (NOMNC) Instructions and Forms
To remind network home health agencies that provide services to Florida Blue (BlueMedicare) or Coventry Medicare Advantage members of the Notice of Medicare Non-Coverage (NOMNC) process...
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10/02/2019
Medical Coverage Policy Resources
To remind providers that links to health plan medical coverage policies are available through both the Provider Manual and the Medical Coverage Policies links on the Provider Portal: HomeBridge at www.CareCentrixPortal.com under the ¿For Providers¿ section...
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10/02/2019
Changes to Provider Demographic Information
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application...
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09/13/2019
HomeBridge Administrator Portal Responsibilities
To remind designated Provider Portal: HomeBridge administrators of their responsibility to manage portal user access and profile information on behalf of their organization...
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07/26/2019
Waiver of Liability Process
To provide direction to providers on the new process for submitting Waiver of Liability claims to CareCentrix. Waiver of Liability claim is a claim that is not covered by the primary payor but may be covered by a secondary funding source. The provider is seeking to obtain ..
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07/08/2019
Electronic Claim Submissions
To provide insight to the benefits of transmitting provider claims via Electronic Data Interchange (EDI) rather than submitting paper claim forms. ..
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06/21/2019
Notice of Medicare Non-Coverage (NOMNC) Update
To inform network home health agencies of a change to the contact information for the Quality Improvement Organization (QIO) assigned to Florida. ..
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06/20/2019
UMR to administer health benefits for West Virginia Public Employees Insurance Agency (PEIA) effective July 1, 2019
To communicate that, effective July 1, 2019, UnitedHealthcare will administer health benefits for PEIA members and their families through UMR, Inc., its third party administrator (TPA) business. ..
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06/20/2019
Reasonable Useful Lifetime Policy for Durable Medical Equipment
To remind providers to review Health Plan Medical Coverage Guidelines for the Reasonable Useful Lifetime (RUL) Policy for Durable Medical Equipment (DME) prior to requesting a replacement or repair...
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05/15/2019
Service Facility Information
To remind providers rendering services to Florida Blue and Florida BlueCard members to send complete and accurate service facility information when appropriate. EDI claims that do not contain complete and accurate service facility information may result in denial or reject..
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05/08/2019
Utilization Management Review Process for Coventry Medicare Members in Florida
To inform providers that, effective 6/1/2019. CareCentrix will be delegated to perform Utilization Management (UM) for home health services for all Coventry Medicare/DSNP members in Florida..
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05/06/2019
FDA Recall - Mycophenolate Mofetil for Injection
Effective immediately the FDA has issued a voluntary recall of one lot of Mycophenolate Mofetil for Injection, USP, lot AD812 manufactured by Gland Pharma Limited and distributed nationwide by Par Pharmaceutical, Inc. between January 23, 2019 and February 11, 2019 due to t..
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04/30/2019
BlueCard Reminder Newsflash
This Newsflash is to remind providers of the BlueCard process and available resources on the Provider Portal, HomeBridge to ensure the correct home plan is contacted when authorization is not obtained by CareCentrix. ..
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04/30/2019
SAF Now Renamed to SRF
To notify providers that the Service Authorization Form (SAF) will be renamed to Service Registration Form (SRF)..
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01/18/2019
FLBL NOMNC Requirements 01/2019
To remind network home health agencies that provide services to Florida Blue Medicare Advantage (BlueMedicare) members about the Florida Blue Notice of Medicare Non-Coverage (NOMNC) process. ..
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01/18/2019
Medical Coverage Policy Links - Q1 2019 Reminder
To remind providers that links to health plan medical coverage policies are available through both the Provider Manual and the Medical Coverage Policies links on the Provider Portal: HomeBridge at www.CareCentrixPortal.com under the “For Providers” section. ..
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01/14/2019
Cigna Alternate Member ID
To inform providers of the correct process when entering member Subscriber ID and Alternate Member ID into the Provider Portal: HomeBridge for Cigna and Cigna Select (GreatWest) members. ..
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01/08/2019
Changes to Provider Demographic 01/2019
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application...
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12/19/2018
2019 Benefit Reminder
To remind providers about the importance of confirming a member’s proof of eligibility andcoverage as the year draws to a close, to ensure authorizations are current, and to provideguidance for successful claims submission...
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12/18/2018
NHP becomes AllWays Health Partners
To communicate that Neighborhood Health Plan (NHP) has announced that, beginning January 1, 2019, the company will be known as “AllWays Health Partners.”..
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11/27/2018
Changes to Florida Blue Patient Intake and Authorizations Numbers
To provide information regarding a change to the intake and authorization numbers forcertain patients covered under Florida Blue plans...
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11/19/2018
Parent Authorization ID
To communicate a new authorization identification type for Post-Acute Care facility authorization requests. This change reduces complexity for providers and health plans associated with reconciliation and billing...
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11/02/2018
HomeBridge Enhancement: Carve Outs and Group Exception
To inform providers of a new Provider Portal: HomeBridge enhancement to preventrequests for members and/or services that are not coordinated by CareCentrix...
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10/26/2018
Compliance Reminder - BayCare Health System County Coverage
To remind CareCentrix providers of their obligation to comply with the existing BayCare Health System carve out process for certain Cigna members. ..
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10/19/2018
Bill for Denial
To provide direction to providers on the new process for submitting Bill for Denial claims to CareCentrix...
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10/09/2018
State of Emergency: Hurricane Michael
The Governors of Florida and Alabama have declared a State of Emergency due to possible storm surges and flooding following Hurricane Michael's landfall along Florida's West Coast and Panhandle. ..
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10/04/2018
Florida Blue NOMNC Process Change
To communicate a change to the NOMNC process for home health providers that render services to Florida Blue Medicare Advantage members. ..
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10/03/2018
Changes to Provider Demographic Info - Q4 2018
To remind providers that they must notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application. ..
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10/02/2018
Medical Coverage Policy Links
To remind providers that links to health plan medical coverage policies are available through both the Provider Manual and the Medical Coverage Policies links on the Provider Portal: HomeBridgeSM at www.CareCentrixPortal.com under the “For Providers” section...
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09/28/2018
BCBS Pre-Fix Identification Tool
CareCentrix is excited to introduce the new Blue Cross Blue Shield (BCBS) Prefix Identification Tool available on our Provider Portal: HomeBridge...
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09/25/2018
Chat With Us - Technical Issues
To inform providers who are using the "Chat with Us" feature on the Provider Portal: HomeBridge that the chat box may close unexpectedly due to the browser cache being full. ..
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09/21/2018
Chat with Us!
You spoke – we listened! CareCentrix is excited to announce upgrades and enhancements to our Provider Portal: HomeBridgeSM. “Chat With Us” tool!..
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09/21/2018
Florida Blue Phone Menu Update
To inform providers servicing Florida Blue members that CareCentrix has recently updated our call menu and options for the Florida Blue 800 number...
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09/14/2018
Hurricane Florence - Cigna Accommodations for Members
Cigna has announced their plans to help residents of the following states prepare for Hurricane Florence by easing some health benefits plan requirements. ..
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08/17/2018
CA Wildfires
The State of California Department of Insurance (DOI) has extended the implementation of State of Emergency procedures to Mendocino County, in addition to Shasta and Riverside Counties, to include the necessary replacement of items inaccessible or lost in the recent and on..
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07/12/2018
HomeBridge Enhancement - Chat with Us!
CareCentrix is excited to announce an enhancement to our Provider Portal: HomeBridge. The "Chat with Us" tool allows convenient, secure and real-time interactions via online instant messaging (IM) for existing authorizations. ..
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07/11/2018
Florida Blue NOMNC Form and Instructions - July 2018
To remind network home health agencies that provide services to Florida Blue Medicare Advantage members about the Florida Blue Notice of Medicare Non-Coverage (NOMNC) form and how to use the Flordia Blue form. ..
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07/10/2018
Changes to Provider Demographic Info - Q3 2018
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application. ..
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06/30/2018
Cigna Bill for Denial
To provide direction to DME ..
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06/28/2018
Best Practices - Claims Submission
To inform providers with multiple locations credentialed with CareCentrix under the same rendering National Provider Identifier (NPI) of potential claim rejections due to failure to obtain authorization for billed services. ..
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06/22/2018
Medical Coverage Policy Links
To remind providers that links to health plan medical coverage policies are available through both the Provider Manual and the Medical Coverage Policies links on the Provider Portal. ..
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05/25/2018
Standard vs. High Tech Hourly Private Duty Nursing
To inform PDN providers of the service codes to be used when requesting authorization and billing for standard and high tech private duty nursing services...
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05/21/2018
HomeBridge Password Reset
To inform providers of a new enhancement for adding portal users and completing password resets on the Provider Portal: HomeBridge effective May 21, 2018. ..
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05/11/2018
Claim Rejection Reason Reminder
A claim may be rejected if it is an exact duplicate of a previous claim submission. Failure to include the Treatment Authorization Codes (TAC) when submitting Medicare Advantage traditional home health claims will result in a rejection. ..
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04/30/2018
Eligibility and Benefits for New Jersey Carpenters Fund (Horizon Healthcare Services, Inc.)
To remind providers that continuous glucose monitors (CGM) are a non-covered benefit for Horizon Healthcare Services, Inc. (“Horizon”) members covered under the New Jersey Carpenters Fund Employer Group (Group Number 75938). Providers are required to verify eligibility and..
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04/26/2018
CMS Code Changes – Effective April 1, 2018
The purpose of this communication is to notify providers of changes to the Centers for Medicare and Medicaid Services (CMS) Current Procedural Terminology (CPT®) and Healthcare Common Procedure Coding System (HCPCS), and how these changes may impact provider billing, fee s..
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04/26/2018
New Blue Cross Blue Shield Alphanumeric Subscriber IDs
Effective immediately, the Blue Cross and Blue Shield Association (BCBSA) is expanding the alpha prefix designation to accommodate alphanumeric values in Subscriber IDs.o Example of a new Subscriber ID: W5K123456789..
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04/26/2018
Fallon Medicaid Business
To inform Fallon Health providers that, effective March 1, 2018, Fallon is supporting 3 new Accountable Care Organizations (ACOs) to manage Medicaid members:o Reliant ACO /Fallon 365 Careo Wellforce ACO/ Wellforce Care Plano Berkshire ACO/ Berkshire Fallon Health Collabora..
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04/24/2018
2.Notice of Address Change – Paper Claims Sent via FedEx, UPS or Certified Mail
The purpose of this communication is to notify providers using Federal Express, UPS or Certified Mail of a change to the address for submitting paper corrected claims, reconsiderations, and appeals. ..
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04/07/2018
Medicare Advantage - Home Health Billing Reminder
To remind Home Health Providers of specific billing requirements for Medicare Advantage members. Claims that do not adhere to these requirements may be rejected or denied. ..
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04/06/2018
Changes to Provider Demographic Information
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application...
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03/20/2018
Correction - Cigna Breast Pump Kit Newsflash
To inform contracted providers who service Cigna members of a recent change to the fee schedule for billing a kit to support institutional (hospital grade) breast pumps...
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02/26/2018
Warning Code Tool
To remind providers of the importance of resolving all error messages, specifically ”Overlap Errors,” prior to submitting authorization requests on the Provider Portal: HomeBridge. ..
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02/14/2018
Rental vs Purchase Authorization Requests
To remind durable medical equipment (DME) sleep providers of their responsibility to use the correct Unit of Measure (UOM) when submitting requests for PAP therapy devices through the Provider Portal: HomeBridgeSM...
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02/02/2018
Compliance Reminder BayCare Health System County Coverage
To remind CareCentrix providers of their obligation to comply with the existing BayCare Health System carve-out process for certain Cigna members...
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02/02/2018
Claims Processing: Enhancements
To notify providers of a recent enhancement aimed at improving electronic and paper claim processing times. Effective immediately, providers are encouraged to include the patient’s health plan name on each claim submission...
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01/29/2018
New Pap Therapy Set-Up Form
Effective immediately, the newly updated CareCentrix / Sleep Management Solutions (SMS) PAP therapy set-up form is required for all patients participating in the CareCentrix/ Sleep Management Solutions (SMS) iComply Therapy Adherence Program. ..
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01/13/2018
Changes to Provider Demographic Information
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application...
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01/11/2018
CMS Code Changes Effective 1-1-2018
The purpose of this communication is to notify providers of changes to the Centers for Medicare and Medicaid Services (CMS) Current Procedural Terminology (CPT®) and Healthcare Common Procedure Coding System (HCPCS) and how they may impact provider billing, fee schedules, ..
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01/05/2018
New Cigna Time Audit Sheet
To inform providers of a new form required when requesting authorization for Private DutyNursing for Cigna members...
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01/05/2018
LT / RT Modifier Enhancement
To advise providers of a recent system enhancement related to LT ..
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12/27/2017
Medical Policy Resources Reminder
To remind providers that links to health plan medical coverage policies are available through both the Provider Manual and the Medical Coverage Policies links on the CareCentrix Provider Portal. ..
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12/22/2017
2018 Benefit Reminders
To remind providers about the importance of confirming a member’s eligibility and benefits as the year draws to a close, to ensure authorizations are current, and to provide guidance for successful claims submission..
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12/15/2017
Holiday Home Care Referrals
With the upcoming holiday, we are asking to submit your referrals to CareCentrix as early as possible, so that we can ensure services are coordinated timely for your discharging patient(s)...
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11/27/2017
Medical Policy Resources Reminder
To remind providers that links to health plan medical coverage policies are available through both the Provider Manual and the Medical Coverage Policies links on the CareCentrix Provider Portal home page at www.CareCentrixPortal.com under the “For Providers” section...
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11/18/2017
Horizon Contiguous County Rules
To clarify the Horizon contiguous county rules which define whether a service provided to aHorizon member should be billed to CareCentrix or the member’s home plan...
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10/27/2017
Infusion Nursing Network Opportunity
The purpose of this communication is to notify home health agencies of a growing opportunity for specialty infusion nursing. CareCentrix has a network of home infusion pharmacies that dispense specialty infusion medication, pumps, and supplies directly to the patient’s hom..
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10/27/2017
Medical Policy Resources Reminder
To remind providers that links to health plan medical coverage policies are available through both the Provider Manual and the Medical Coverage Policies links on the CareCentrix Provider Portal home page at www.CareCentrixPortal.com under the “For Providers” section.CareCe..
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10/16/2017
Normal Saline Shortage
To inform providers of a supply disruption of IV solutions due to scheduled maintenance within Braun's manufacturing environment beginning in October. ..
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10/13/2017
Changes to Provider Demographic Information
To remind providers that they must timely notify CareCentrix of any changes in theirdemographic information or changes to the information submitted in their CareCentrixcredentialing application...
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10/12/2017
Provider submissions of authorizations and re-authorizations
Provider education for submitting authorizations and re-authorizations and direction to the providers on how and what to communicate to the patients. ..
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10/12/2017
Alert: CA Wildfires
Governor Brown Jr. has declared a State of Emergency in Solano, Napa, Sonoma and Yuba counties following the recent wildfires across the state and the high potential for increased wildfires to continue this year. ..
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10/06/2017
Hurricane Nate
To alert contracted providers in selected counties currently under hurricane watch or warningsabout CareCentrix’s operations in preparation for Hurricane Nate...
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09/29/2017
Medical Coverage Policy Updates
To notify providers that links to health plan medical coverage policies are now available on the CareCentrix Provider Portal...
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09/28/2017
Authorization Status Tracker
To inform providers of a new enhancement being implemented to our provider portal that will give providers information on the status of their authorization request...
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09/27/2017
New Cigna Dedicated 800 Number
To inform providers that CareCentrix has implemented a new toll-free number that has been created specifically for provider inquiries related to Cigna members such as authorization and claim inquiries...
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09/27/2017
Provider Warning Code
To inform providers of a new self-service feature, called Warning Code Tool, onour provider portal to enhance the provider experience. This tool allows a providerto see the most common errors and to make corrections to improve overallefficiencies...
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09/20/2017
Hurricane Jose
To alert contracted providers in selected counties currently under tropical storm or hurricane watch about CareCentrix’s operations in preparation for Hurricane Jose...
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09/07/2017
State of Emergency - Hurricane Irma
To alert contracted providers in Florida of CareCentrix’s operations in light of Executive Order 17-235 issued by Governor Scott, which declares a State of Emergency in all counties within the state of Florida, in preparation for Hurricane Irma...
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09/06/2017
Billing Changes for MED Services for Florida Blue
This communication is to notify providers that billing requirements have changed for MED (drug) services for Florida Blue members. ..
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08/30/2017
Critical Reminder Regarding Provider Portal
To remind providers of the clinical information needed to help ensure timely processing of authorizations through the Provider Portal...
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08/30/2017
New Precertfication Requirements
On June 1, 2017, precertification is required for Medicare Part B home health care services when the homecare requests are more than 60 consecutive days.This applies to all providers rendering home health care services for members enrolled in Aetna and Coventry Medicare A..
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07/20/2017
Notice of Medicare Non-Coverage Fax Requirement
To remind all participating home health providers that they are required to fax to CareCentrix every Medicare Advantage patient's completed NOMNC form. ..
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07/20/2017
Diabetic Equipment and Supplies for Lake County Board of County Commissioners
To notify providers that diabetic equipment (insulin pumps, tubing, etc.) and diabetic supplies (test strips, lancets, etc.) for Lake County Board of County Commissioners Florida Blue members are covered under both the Medical (Durable Medical Equipment "DME") and Pharmacy..
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07/18/2017
BayCare Health System County Coverage Carve Out
To remind CareCentrix providers of county coverage for the existing BayCare Health System carve out process for Cigna members. ..
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07/14/2017
Changes to Provider Demographic Info Q3 2017
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application. ..
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06/15/2017
New PAP Therapy Set-Up Form
Effective immediately, the newly updated CareCentrix / Sleep Management Solutions (SMS) PAP therapy set-up form is required for all patients participating in the CareCentrix / Sleep Management Solutions (SMS) iComply Therapy Adherence Program...
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06/06/2017
State of Illinois Health Benefit Plan Termination with Cigna and CareCentrix
Beginning July 1, 2017, Cigna and CareCentrix will no longer coordinate services for the State of Illinois Health Benefit Plan. Providers should work directly with the patient’s new carrier for services provided to State of Illinois members on or after July 1, 2017...
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05/31/2017
Home Sleep Test (HST) Program Reminder
To remind Home Sleep Test (HST) providers of their responsibility to update the Patient Management System (SleepUM) on a timely and accurate basis and in accordance with the terms of participation in the “Specialty Program” as referenced in the Provider Manual. ..
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05/18/2017
MOOG Infusion Pump Training Opportunity
To extend the opportunity for Home Health Agencies to learn how to become a proficient user of Cigna's Preferred Infusion Pump for IV services of their members. ..
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04/21/2017
Changes to Provider Demographic Info - Q2 2017
The purpose of this communication is to remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application. ..
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04/18/2017
Medicare Advantage - Oxygen Authorization Requirements
The purpose of this communication is to provide additional information about changes to the CareCentrix oxygen authorization requirements for Medicare Advantage members announced in our February 2017 Newsflash and effective April 10, 2017. ..
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04/14/2017
Notice of Address Change - Paper Claims Submissions
The purpose of this communication is to notify providers of a change to the address for submitting paper claims, recoupment requests, reconsiderations, and appeals to CareCentrix. ..
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03/17/2017
Florida Blue Self-Administered Drugs - Update
The purpose of this communication is to notify providers of recent changes to the Florida Blue self-administered drug process and how it will impact new and existing authorizations.Note: This change applies to commercial and Medicare Advantage members. Providers should alw..
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02/15/2017
CMS Code Changes
The purpose of this communication is to notify providers of recent changes to CMS CPT Codes and how they will impact provider billing, fee schedules, and existing authorizations...
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02/15/2017
Provider Demographic Changes
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application...
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02/10/2017
Oxygen Authorized Unit Change
To inform providers about a change to the CareCentrix authorization process for oxygen for patients covered under a Medicare Advantage Plan. ..
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02/01/2017
Rent to Purchase
The purpose of this communication is to remind providers of the capped rental and rent-to-purchase requirements under your provider agreement. ..
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12/21/2016
Provider Demographic Changes
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application...
Read More
 
12/02/2016
2017 Benefits Reminder
The purpose of this newsflash is to remind providers about the importance of confirming a member’s proof of eligibility and coverage as the year draws to a close, to ensure authorizations are current, and to provide guidance for successful claims submission. ..
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12/02/2016
Cigna Secondary Claims
The newsflash is intended to inform providers about changes to the claims submission process when Medicare is primary and Cigna is secondary...
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10/11/2016
Horizon BCBSNJ Authorization Process
This document reviews the authorization process providers should follow when submitting service requests for Horizon BCBSNJ members receiving traditional home health and/or private duty nursing services on or after November 1, 2016...
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08/29/2016
Provider Portal Delays/Errors with Service Requests
You may intermittently experience delays and/or errors when submitting service requests and/or viewing authorizations via the CareCentrix Provider Portal. The CareCentrix team is diligently working to resolve the issue. ..
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08/10/2016
Pediatric Nursing Authorization Update
The purpose of this communication is to inform providers about a change to the CareCentrix authorization policy for pediatric nursing visits, specifically an expansion in the number of visits authorized upon initial request. This change will apply to all of the health pla..
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08/08/2016
Physical Therapy Authorization Update
The purpose of this communication is to inform providers about a change to the CareCentrix authorization policy for physical therapy visits, specifically an expansion in the number of visits authorized upon initial request. This change will apply to all of the health plan..
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08/05/2016
Assignment of Benefits
The purpose of this communication is to educate providers about CareCentrix’s expectation that providers will obtain an assignment of benefits (AOB) from their patients and reflect that they have obtained such assignment in their claims submissions to CareCentrix...
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08/01/2016
RN Skilled Nursing Authorization Update
The purpose of this communication is to inform providers about a change to the CareCentrix authorization policy for skilled nursing visits, specifically an expansion in the number of visits authorized upon initial request. This change will apply to all of the health plans..
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08/01/2016
Horizon Home Health
The purpose of this communication is to inform providers that, effective November 1, 2016, the management of traditional home health for Horizon BCBSNJ members (including skilled nursing, home health aide, physical, occupational and speech therapy visits) and private duty ..
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07/13/2016
Reminder: Provider Demographic Changes
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application... ..
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06/17/2016
Horizon Diabetic Supplies
To inform providers about changes impacting diabetic supplies for Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ) State members. .. ..
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06/17/2016
Coverage Policy Reminder: Lyme Disease
To remind all participating home infusion providers of CIGNA’s coverage policy regarding the treatment of Lyme disease...
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05/23/2016
Advanced Wound Care Product Coverage Changes
The purpose of this communication is to notify providers about Advanced Wound Care Products that may now be covered under the Horizon Care@Home Program for fully insured members, to review the products and services that remain excluded from the plan and to inform you about..
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05/09/2016
Horizon Home Health Claim Submission
Use this quick reference guide when submitting claims for home health services...
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05/05/2016
2016 NOMNC Fax Requirement and 179 NOMNC Training
Explains the NOMNC process and requirements to Medicare certified providers in FL and GA. ..
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04/29/2016
Reminder: Provider Demographic Changes
To remind providers that they must timely notify CareCentrix of any changes in their demographic information or changes to the information submitted in their CareCentrix credentialing application...
Read More
 
04/27/2016
Be Healthy-Alignment Prefix Re-education
The purpose of the newsflash is to re-educate providers on the correct Be Healthy prefixes to be used and authorization best practices...
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04/11/2016
PEIA West Virginia Sleep Program Changes
To inform providers that PEIA West Virginia will be migrated to our Claims 2.0 operating model effective on 5/1/2016. Claims 2.0 is CareCentrix’s enhanced claims processing technology and operations designed to align with industry best practices and to improve overall pro..
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