Posted on April 28, 2017
Attention Billing Staff: It has been brought to our attention through provider feedback that we needed to re-evaluate our hours of operation for our Provider Claims Queue. Historically, the queue was open 9:00 a.m. – 12:00 p.m. and 1:00 p.m. – 3:00 p.m. In order to provide the highest standard of provider satisfaction we strive […]
Posted on April 28, 2017
ImPACT Testing: This is the most widely used computerized neurocognitive test to help evaluate and manage concussions. As a result of increased requests, Health New England is publishing an ImPACT Testing Payment Policy, which will go into effect July 1, 2017. Pharmaceutical Waste: Please note that our Pharmaceutical Waste Payment Policy has been renamed “JW […]
Posted on April 28, 2017
Did you know you can access Health New England’s Clinical Policies on our Provider Resources page at healthnewengland.org/Providers/Resources. Most recently, the following Medical Policies have been released and/or reviewed: Speech Therapy for Autism Disorders (NEW, effective 07/01/2017) Spinal Cord Stimulation Photochemotherapy and Phototherapy (PUVA) Preimplantation Genetic Testing (PGT)/Preimplantation Genetic Diagnosis (PGD) Enteral Nutrition and Formula Therapeutic […]
Posted on April 27, 2017
Dear Providers: As part of our commitment to provide affordable access to high quality health care, Health New England continually reviews 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. For a copy of our […]
Posted on April 27, 2017
Health New England’s 2017 formularies are available on healthnewengland.org. We encourage Providers to utilize the online formularies, which are accessible to all users without a login or password. The online formularies are updated throughout the year as changes are made. We have three formularies, one for each line of business – Commercial, Medicare Advantage and […]
Posted on April 27, 2017
Do you know you have a Health New England Provider Relations Representative assigned to your practice? We at Health New England appreciate your ongoing partnership with us in providing excellent care and services to our members. We would like to ensure that we are providing you with that same excellent service. Each one of our […]
Posted on March 23, 2017
Attention Health New England Be Healthy Providers: Please note that the release of information for disclosure form has been updated to be in compliance with the new Substance Use Disorder privacy law. See the attached form that has been updated by MBHP, our behavioral health delegate. You should begin using this form immediately
Posted on February 27, 2017
As you are aware, Health New England partners with eviCore healthcare to pre-authorize specific sleep diagnostic procedures and Positive Airway Pressure (PAP) therapy devices and supplies. Our partnership with eviCore healthcare has helped Health New England improve the quality and appropriateness of these services. We are now more than a year into our partnership and […]
Posted on February 27, 2017
Your concerns over Health New England’s Provider Claims Queue have been recognized. Historically the Provider Claims Queue was open from 9:00 a.m. – 12:00 p.m. and 1:00 p.m. – 3:00 p.m. In order to provide the highest standard of provider satisfaction, we are extending the Provider Claims Queue hours effective March 01, 2017. Provider Claims […]
Posted on December 5, 2016
Please read the following update related to various Health New England programs and changes that may have an impact on your patients and/or your practice. If you have any questions about the information in this notice, please contact Health New England Provider Relations at (800) 842-4464, extension 5000. A representative is available Monday through Friday […]