Posted on November 1, 2023
Health New England is committed to reviewing our internal procedures and defining coverage and billing guidelines with applicable laws and industry standards to ensure our policies are appropriate. To access payment policies, visit healthnewengland.org/Providers/Resources. The following policies were reviewed and updated: Urgent, extended care & walk-in care – reviewed against authorization process Skilled nursing facility […]
Posted on September 29, 2023
Health New England is committed to reviewing our internal procedures and define coverage and billing guidelines with applicable laws and industry standards to ensure our policies are appropriate. To access payment policies, please visit healthnewengland.org/Providers/Resources. The following policies were reviewed and updated: Non-Reimbursed Revenue Code (PP008POL) – no change Modifier (PP040POL) – clarified authorization requirements […]
Posted on September 29, 2023
Health New England reviews our Provider Manual regularly and notifies you when there are updates. Most recently, we made the decision to remove the “Vaccine Policy” from our manual. We released a Vaccine and Immunization Payment Policy back in 2015. This resides with all of our other payment policies at https://healthnewengland.org/Providers/Resources. Since the information is […]
Posted on September 29, 2023
Attention Providers and Practice Managers: Accurate provider directories are critical to helping our members make educated decisions about their plan choices. Health New England offers an online directory for all products, and hard copies of each directory are available upon request. In an effort to support the Centers for Medicare & Medicaid Services (CMS), MassHealth, […]
Posted on September 29, 2023
It is important for Health New England to hear from our Primary Care Providers and Behavioral Health Providers on the care of your patients as it relates to behavioral health. Your insights allow us to continue providing the best experience with patient care. We will email the survey to your office in the upcoming weeks. […]
Posted on September 29, 2023
Health New England’s formularies are located at healthnewengland.org. At the top of the page, use the “Find A Drug” tool.
Posted on September 29, 2023
Health New England reviews clinical policies and updates accordingly. These policies reside at healthnewengland.org/Providers/Resources. Once on the Resources page, click on Behavioral Health/Medical Policies to learn more. For more information, please do not hesitate to call your Provider Relations Representative at (800) 842-4464, extension 5000, or send an email to providerrelations@hne.com.
Posted on August 31, 2023
Health New England reviews clinical policies and updates accordingly. These policies reside at healthnewengland.org/Providers/Resources. Once on the Resources page, click on Behavioral Health/Medical Policies to learn more. For more information, please do not hesitate to call your Provider Relations Representative at (800) 842-4464, extension 5000, or send an email to providerrelations@hne.com.
Posted on August 31, 2023
Health New England reviews our Provider Manual regularly and notifies you when there are updates. Most recently, we updated the following sections: Billing and Reimbursement (effective 11/1/2023) Claims Submission and Reimbursement Section – Clarified language with claim submission. Updated filing limits. Coordination of Benefits and Subrogation – Updated filing limit. Appeals (effective 11/1/2023) Claim […]
Posted on August 31, 2023
Health New England is committed to reviewing our internal procedures and defining coverage and billing guidelines with applicable laws and industry standards to ensure our policies are appropriate. To access payment policies, please visit healthnewengland.org/Providers/Resources. The following policies were created: Facility Routine Services, Supplies & Equipment – Effective 11/1/2023 Timely Filing Payment Policy – Effective […]