Category Archives: Policy/Administative Reminders

Clinical Criteria Updates

Posted on December 7, 2017

Did you know you can access Health New England’s Clinical Policies on our Provider Resource page at healthnewengland.org/Providers/Resources. Most recently, the following Medical Policies have been released and/or reviewed: Family Stabilization Team Radiofrequency Ablation for Spinal Pain Endothelial Keratoplasy Sacral Nerve Stimulation and Electrical Percutaneous Tibial Nerve Stimulation Infertility Treatment Gender Reassignment Surgery Artificial Intervertebral […]

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New Sleep Study Payment Policy

Posted on September 12, 2016

Health New England has contracted with eviCore Healthcare to preauthorize specific sleep diagnostic procedures and PAP therapy devices and supplies. This new authorization program began on February 1, 2016. The program has been going well and our Provider Relations team continues to work daily with both providers and facilities to ensure this transition continues to […]

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Policy Updates: Effective 2/1/2016

Posted on January 21, 2016

We have recently updated Health New England Policies and Clinical Review criteria as follows (effective 2/1/16): • Oncotype DX and MammaPrint Breast Cancer Assay • Community Based-Treatment Program • Crisis Stabilization Unit We have also added New Standardized Prior Approval (PA) Forms for Behavioral Health (effective 1/1/16). To obtain paper copy of any information referenced on this postcard, please […]

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Reminder

Posted on March 7, 2012

Provider Record Changes We understand that there instances where a provider may need to change their demographics. Please note, it is important to keep HNE aware of any changes involving telephone numbers, financial and physical addresses, hospital affiliations, tax identification numbers, coverage arrangements and panel status as this could affect claims processing and our provider […]

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Provider Explanation of Payment (EOP)

Posted on February 14, 2011

At HNE, our mission is to improve the health and life of the people in our communities. Our green initiatives, including replacing print media with electronic, supports this mission. We have discontinued our practice of enclosing an Explanation of Payment (EOP) with your payment. Instead, we’ve set up an easy to use, secure web portal […]

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