Posted on October 18, 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. Pneumococcal vaccine recommendations for aging adults: It’s recommended that adults ages 65 and older get both the pneumococcal polysaccharide vaccine (PPSV23) and pneumococcal conjugate vaccine (PCV13). Timing of the vaccines: […]
Posted on October 18, 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. Health New England’s 2017 formularies are now available on healthnewengland.org: The online formularies are updated throughout the year as changes are made. We have three formularies, one for each line […]
Posted on October 18, 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. Magellan additional/new codes requiring authorization: Effective January 1, 2017, the drugs listed below will require authorization through Magellan RX Management. Please remember, all urgent requests for authorization can be requested […]
Posted on October 18, 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. Correction to Anesthesia Payment Policy specific to the AD modifier: On an annual basis, Health New England conducts various auditing and monitoring activities to fulfill our responsibility to our provider […]
Posted on October 18, 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. Standard authorization forms issued for imaging services and prescription drug prior authorization: On August 9, 2016, the Division of Insurance released guidance requiring that health plans accept and providers use […]
Posted on September 12, 2016
When our providers go above and beyond to ensure quality care for patients, they also often help pass along cost savings to our members and employer groups. Recently one provider at a local Louis & Clark medical equipment & supply store did just that. Health New England had been working with a Be Healthy member […]
Posted on September 12, 2016
We invite you to join Health New England at the Rays of Hope walk/run, which will take place on Sunday, Oct. 30, in Forest Park in Springfield. Join us as we hit the pavement in support of breast health in Western Massachusetts. Health New England is an event sponsor and we have supported Rays of […]
Posted on September 12, 2016
Health New England is pleased to announce the recent appointment of Michael Marrone as Chief Financial Officer. In this role, Mike will lead all aspects of financial strategy for the organization, ensuring the ability to provide cost-effective health care coverage while maintaining high-quality member care. He joins Health New England’s executive leadership team and reports […]
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 […]
Posted on September 12, 2016
Health New England providers can now view up-to-date information online, including claim status, member eligibility and member benefits. Once registered on HNEDirect, a provider can: Check eligibility Obtain the patient’s Health New England copay amount to ensure collection of the correct copay at the time of service Check the status of claims submissions Check the […]