60 Day Notice
Posted on May 13, 2011
To view the most recent 60 day notice regarding payment changes that tool effect 4/1/11, click here. 60 Day Notice Final 4-1-11
Category Archives: Notice of Policy Changes
Semi Annual Notice of Changes
Posted on May 4, 2011
To view the recent mailing of the Semi Annual Notice of Changes click here: ff-0711-prv
HIPAA 5010 Conversion with Health New England (HNE)
Posted on April 29, 2011
HIPAA X12 standards, version 5010, is a new standard that regulates the electronic transmission of specific health care transactions. Covered entities – health plans, health care clearinghouses, and health care providers – must conform to HIPAA 5010 standards by January 1, 2012. HNE is committed to working with our trading partners to support the migration […]
Reminder: HNE Criteria for Benefit Decisions
Posted on April 12, 2011
HNE Criteria for Benefit Decisions are available via HNE.com or by calling Member Services at 787 4004 or 800 310 2835. To view HNE-developed clinical criteria click here: http://hne.com/HNE_Providers/Policies.html
Attention Behavioral Health Providers: New Depression Guidelines
Posted on April 1, 2011
To view our new Depression Guidelines, please click here: http://hne.com/Health/MHQP/DepressionClinicalGuideline.pdf
Provider Communication
Posted on March 28, 2011
At HNE, we are committed to following business practices that support sustainability – both financially and environmentally. Wherever possible, we have begun implementing a practice of communicating with our business partners electronically rather than by paper. We are moving reports that we previously mailed to you to our secure web portal, HNEDirect. One such report […]
Massachusetts Health Quality Partners (MHQP) Announcement
Posted on March 9, 2011
Massachusetts Health Quality Partners (MHQP) announced today that despite improvement, there are significant differences in the quality of care delivered by medical groups in Massachusetts, according to its annual Quality Insights: Clinical Quality in Primary Care report.
New Be Healthy Provider – Mercy Medical Center
Posted on March 3, 2011
Please note that as of 12/1/10, Mercy Medical Center has become an inplan provider for HNE Be Healthy members. If you have any questions, contact Provider Relations at 413-233-3313 or 800-842-4464, extension 5000.
Clarification on recent notice regarding modifier 25
Posted on February 8, 2011
Dear Provider: Recently, we sent you a notice that described our new modifier 25 payment policy. Based on your feedback, we would like to provide additional details about the policy. The modifier 25 policy applies primarily to Primary Care Physicians (PCPs) and Pediatricians. It involves a limited set of codes when these codes are billed […]
Formulary Update
Posted on January 28, 2011
Please click on this link to view a recent notice that went out regarding udpates to our online formulary. Provider letter for 201010_1 (2)