Posted on March 17, 2022
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: Evaluation and Management – clarification – corrected prolonged services codes (page 4) Non-Reimbursable […]
Posted on March 17, 2022
Effective July 1, 2022, Health New England’s Lab Management Guidelines will update. To review the new version (V2.0.2022), visit this page. The guidelines are located under the “future” tab. You may also go to the Clinical Guidelines page, click Laboratory Management. In the center of the page, enter “Health New England” in the search. You […]
Posted on March 17, 2022
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 Centers for Medicare & Medicaid Services (CMS), MassHealth, The […]
Posted on February 2, 2022
Medicare Open Enrollment Period – January 1 through March 31 Did you know that Medicare offers beneficiaries who are enrolled in a Medicare Advantage plan one last opportunity to switch their plan during the Medicare Open Enrollment Period (OEP)? The Medicare Open Enrollment period runs from January 1 to March 31 each year. During this […]
Posted on January 25, 2022
Please note, new/revised policies may not appear until closer to the effective date. 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.
Posted on January 25, 2022
Health New England’s formularies are located at healthnewengland.org. At the top of the page, use the “Find A Drug” tool.
Posted on January 25, 2022
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: Telehealth Services Payment Policy Evaluation and Management Payment Policy For additional questions, […]
Posted on January 25, 2022
Health New England reviews our provider manual regularly and notifies you when there are updates. Most recently, we updated the following sections: Member Information (https://healthnewengland.org/providers/provider-manual/member-information) With the recent No Surprise mandate, our Member ID Cards were updated. We have displayed an accurate representation of our cards. Under the Member’s Right to Appeal, we include information […]
Posted on January 25, 2022
We communicated back in July 2021 about our new interactive voice response (IVR) system, which is a quick and efficient self-service tool offering direct access to claims and eligibility status 24 hours a day, 7 days a week. We are now live with this tool, and have taken the feedback we heard from our provider […]
Posted on January 25, 2022
With the recent introduction of taxonomy numbers for certain claims payment, we updated our 837 5010 Claims Companion Guide to clarify when to use this number. In addition, we corrected our documentation regarding Coordination of Benefit (COB) claims for other payers. Go to https://healthnewengland.org/Providers/Resources, click HIPAA Transactions, click 837 5010 Claims Companion Guide. Please see […]