Posted on August 17, 2015
Effective October 1, 2015, the ICD-9 code sets will be replaced by ICD-10 code sets. For the most up-to- date information regarding the Health New England ICD-10 efforts and testing initiatives, please visit the HNE ICD-10 webpage. Also please keep in mind, when submitting claims to Health New England, we will follow the Centers for […]
Posted on June 26, 2015
To support our growing business and better meet the needs of our customers, Health New England is extending its call center hours to accept calls until 6 p.m. (previously 5 p.m.). Starting on July 1, our new Member Services hours will be as follows: Monday – Friday 8:00 a.m. – 6:00 p.m. Contact Member Services: […]
Posted on June 26, 2015
Please click on the below link to view a recent network wide mailing regarding ICD-10 and a Medical Policy update regarding Clinical Trials for Medicare Advantage members : Combined ICD-10 and Medical Policy
Posted on June 26, 2015
MedSolutions has merged with CareCore and is now eviCore healthcare. There will be no changes to how prior authorizations are submitted or your overall user experience as a result of this rebranding effort. For more information, click on the link below: MedSolutions Announcement
Posted on May 28, 2015
Two new Disease Management Programs for COPD and CHF were recently approved at our Clinical Care Assessment Committee. Information about these programs can be found on our Healthy Directions website. If you would like a paper copy of the program descriptions, please contact us at 413-787-4000 or 800-842-4464.A link to the Healthy Directions website is […]
Posted on May 1, 2015
Please click on the link below for some helpful information regarding ICD-10. HNE_Provider_FAQs_
Posted on March 31, 2015
In order to make it easier for consumers to use the state-mandated Cost-of-Care tools on each carrier’s website, the Mass Collaborative has developed a form to simplify the process of providing patients with detailed cost information about a proposed medical service, procedure, or hospital admission. The new Cost Estimate Worksheet helps simplify the process of […]
Posted on March 26, 2015
Massachusetts Health Quality Partners (MHQP), in collaboration with Health New England and other health care organizations across Massachusetts, is proud to release updated editions of its statewide Adult and Pediatric Preventative Care Guidelines which are found in the links below. The Preventive Care Guidelines can also be viewed on or downloaded from MHQP’s website. Also […]
Posted on March 17, 2015
Please click on the link below to view a recent mailing that went out to the network. ICD10 and Appointment Standards Cover Letter_2015
Posted on January 30, 2015
If you are interested in free CME credits, MBHP, our behavioral health delegate for our Be Healthy line of business is sponsoring a free discussion series on behavioral health issues in the Primary Care setting. Please see below: Doc 2 Doc Dial-in Discussion Series: Addressing Substance Use Disorders in Primary Care The Doc 2 Doc […]