Posted on January 12, 2011
IN-PLAN PROVIDERS: If you have not registered for HNEDirect please do so at: https://www.hnedirect.com/login/index.aspx and click on “Need to Register”. Once you are logged in to HNEDirect, you can locate the EOP option under the “Reports” tab. You can search the EOP by the trace number on your check. OUT-OF-PLAN PROVIDERS: Out-of-Plan Providers do not […]
Posted on December 14, 2010
MedSolutions has taken over the Radiology Management Program previously handled by N.I.A. as of 12/1/10. Below is their contact information: Call Center: 888-693-3211 (8 a.m. to 9 p.m. EST Mon-Fri) Online Web Portal: www.medsolutionsonline.com
Posted on December 10, 2010
Attached please see memo regarding recent changes to the Acute Inpatient Hospital Coverage Limit. 20 day acute hospital MCO QA (120810) (2)
Posted on December 10, 2010
Below please find the most current update for the 2010-2011 MHQP Preventive Care Guidelines MHQP Pedi (Rev 09-10)-11-29 Pediatric/Routine Preventive Care Recommendations MHQP Adult (Rev 09-10) copy12-3 Adult Routine Preventive Care Recommendations MHQP_DeskGuides_adult-pedi-10-11 MHQP Desk Guides mm5901-Immunization Recommended Adult Immunization Schedule DPH Child and Adol Imm Schedule 2010 Recommended Immunization Schedule for Persons Aged 0 […]
Posted on November 12, 2010
Complete Diagnosis Submission Improves Quality and Care Have you ever shot eight out of ten free throws in a row and had no one to witness your accomplishment? Ever make that incredible putt and no one in your group was paying attention? That’s what happens when a physician completes a thorough evaluation but doesn’t document […]
Posted on November 9, 2010
Click on the link below to find out more information on our HNE Medicare Advantage-Home Assessment Program. Medicare Advantage-Home Assessment Program
Posted on October 27, 2010
Dear HNE Provider: As part of our commitment to provide affordable access to high quality health care, we continually review the benefits and services offered to our members. As a result, from time to time we update the coverage we provide and change the way that coverage is administered. We then notify our members, their […]
Posted on October 25, 2010
Just a reminder that if you have any questions regarding a Negative Balance Applied Report, there is a section of the HNE Provider Manual that explains how the Negative Balances are applied. This section is on pages 28-31 in the HNE Provider Manual located at the following link: http://hnewss/provrel/Shared%20Documents/Provider%20Manual.pdf
Posted on October 22, 2010
Influenza Virus/Flu Vaccine: HNE covers the flu vaccine for any member over six (6) months of age. The flu vaccine may be obtained through the PCP. If the PCP does not have flu vaccine, it may be obtained elsewhere, however, the member would have to pay for it and then submit for reimbursement. They will […]
Posted on October 14, 2010
If you are supplying DME to an HNE Medicare Advantage member or an HNE Be Healthy member, please remember that the standard AELK Master List on HNEDirect may not apply to these members. There is a note at the top of the AELK Master List that states: FOR HNE MEDICARE ADVANTAGE OR HNE BE HEALTHY […]