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Prior Authorization Policy Change
04/22/19 Provider News
Review important changes to Samaritan Health Plans’ prior authorization policy. This clarifies under what conditions an exception will be made for a retroactive request.
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Provider Webinar
04/12/19 Provider News
Did you miss our webinar on Dec. 6? You can download our presentation to review important updates on the horizon in 2019.
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Free Electronic Claims
01/31/19 Provider News
Samaritan Health Plans has a new free clearinghouse, Office Alley. Office Ally offers a web-based service where providers can submit claims to participating payers.
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Acupuncture Authorization Changes
01/31/19 Provider News
Samaritan Health Plans has revised the approval process for acupuncture treatments for back pain. Providers are now required to use a validated risk assessment tool.
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Authorization Changes for Opioid Prescriptions
09/06/18 Provider News
Effective Sept. 1, 2018, IHN-CCO has implemented new authorization criteria relating to safe opioid use and appropriate pain management.
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COBA Claims
09/06/18 Provider News
Effectively immediately, IHN-CCO is accepting COBA claims from CMS.
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Patient Safety Goals Checklist
09/06/18 Provider News
Samaritan Health Plans has developed a checklist to help providers assess 2018 Patient Safety Goals.
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Electronically Corrected Professional Claims Live Sept 17
09/06/18 Provider News
All contracted providers will be able to submit electronic-corrected professional claims beginning Sept. 17.
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New Search Tool Available for Samaritan Choice Formulary
06/27/18 Provider News
A new search tool for our Samaritan Choice Plan Formulary allows you to quickly look up drug restrictions as well as member copays and coinsurance.
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New Pilot Provides Free Doula Care to IHN-CCO Members
06/26/18 Provider News
The Community Doula Program seeks to improve maternal and infant health outcomes for pregnant IHN-CCO members.
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Educational Requirements Can Now be Met Online
05/23/18 Provider News
Samaritan Health Plans provides easy on-line access to complete required Medicare trainings.
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What to Do When an IHN-CCO Member Misses Appointments
05/23/18 Provider News
Providers must notify IHN-CCO when a member has missed at least two primary care appointments with no effort on the member's part to reschedule. Scheduled and missed appointments should be documented in the member’s file with the PCP.
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Reconcile Claims and Patient Accounts
04/26/18 Provider News
Beginning May 1, providers who log into Provider Connect will be able to look up a remittance and view all of the claims included in the payment, whether they are set up for electronic remittance advice (ERA) or paper remittance advice (PRA).
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IHN-CCO Claims Reprocessed
04/03/18 Provider News
IHN-CCO recently updated its claim editing software for continuous compliance with Oregon Health Plan’s Prioritized List, and there were some unexpected effects on IHN claims.
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New Medicare ID Cards to Be Mailed Soon
03/22/18 Provider News
Beginning next month, The Centers for Medicare and Medicaid Services (CMS) will begin mailing new Medicare cards that… include a new Medicare Number to protect the recipient’s identity.
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Electronically-Corrected Professional Claims
03/22/18 Provider News
Samaritan Health Plans is currently working to accept electronic-corrected professional claims (HCFA). Here's what you need to know now.
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Childhood Immunizations
03/16/18 Provider News
Starting April 1, 2018 IHN-CCO will begin denying all claim lines billed with administration codes for immunization services.
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SNP-MOC Training
02/15/18 Provider News
Complete your 2018 training requirements for Samaritan Health Plans' Special Needs Plan Model of Care Program.
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ID Cards
02/15/18 Provider News
Review updated ID card samples for all of our 2018 plans.
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Prior Auth Changes 2018
12/15/17 Provider News
New Prior Authorization requirements for 2018...
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Online PCP Assignment
12/12/17
A new online tool is available immediately for primary care providers...
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Coding tool improves HEDIS scores
12/07/17
A simple coding chart is available immediately...
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Electronic Transactions
11/22/17 Provider News
Lost checks are a painful reality in many provider clinics, but office managers can take control in a few, simple steps...
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Interpretation Services
11/22/17 Provider News
In order to meet Federal and State regulations, providers are responsible for ensuring that their practice offers timely and free interpretation services.
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