Posted on April 7, 2014
We appreciate your ongoing partnership with us in providing excellent care and service to our members. HNE has long established Appointment and After Hours Standards that have been made readily available in the HNE Provider Manual. As part of HNE’s ongoing effort to ensure that members have appropriate and timely access to care, we are […]
Posted on April 3, 2014
It has come to our attention there has been confusion around some Health New England (HNE) plans being offered through the Connector versus individuals who qualify for the new MassHealth CarePlus Program, both effective January 1, 2014. In support of our ongoing partnership with you in providing excellent care and service to our members, we’d […]
Posted on March 14, 2014
Please click on the link below if you are interested in attending this event being held at the Springfield Marriott on October 21st, offered by Baystate Medical Center: Toxic Stress Media Saturation Education Session
Posted on January 9, 2014
Please click the link below to view a recent mailing that went out regarding our new Be Healthy product, Care Plus. CarePlus Notice
Posted on January 6, 2014
Submitting Claims to HNE HNE will follow the Centers for Medicare & Medicaid Services (CMS) guidelines regarding ICD-10 cutover and will not accept claims with ICD-9 codes for dates of service after the defined cutover date (i.e., 10/1/2014). They will be returned to the provider for correction and resubmission. HNE participating in the Collaborative Testing […]
Posted on December 20, 2013
As part of our efforts to comply with the federally mandated CAQH Committee on Operating Rules for Information Exchange (CORE) in effect on January 1, 2014, HNE will be enhancing our processes for both EFT and ERA. Please click on the link below to click on a notification being sent to providers regarding this enhancement: […]
Posted on December 20, 2013
Please click on the link below to view a recent notification that went to providers regarding the availability of the 2014 formularies online at hne.com: 2014 Formulary Letter
Posted on December 16, 2013
To make sure that health plans and their members have the most up-to-date information about your practice, the Mass Collaborative* is pleased to introduce the Standardized Provider Information Change Form. When you are changing your practice name, address, phone numbers, e-mail, billing company, or other practice information, you only need to complete this single form […]
Posted on December 12, 2013
Please note that HNE recently reviewed its Clinical Care Guidelines for ADHD. There were no changes made during this review. These guidelines are available on hne.com. Please click on the link to view the guidelines: ADHD Clinical Guidelines 2013
Posted on December 6, 2013
For several years, the National Committee for Quality Assurance (NCQA) has ranked HNE among the top 30 health plans nationwide. The NCQA’s standardized measurement criteria—known as the Healthcare Effectiveness Data and Information Set (HEDIS)—includes clinical components, which are measured using data from claims and medical record reviews. In 2014, HNE will be reviewing medical records […]