Attention Medicare Advantage Providers
Posted on November 9, 2010
Click on the link below to find out more information on our HNE Medicare Advantage-Home Assessment Program. Medicare Advantage-Home Assessment Program
ProviderMatters
RE: Semi-Annual Notice of Changes
Posted on October 27, 2010
Dear HNE Provider: As part of our commitment to provide affordable access to high quality health care, we continually review 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. We then notify our members, their […]
Information Regarding Negative Balance Applied Reports
Posted on October 25, 2010
Just a reminder that if you have any questions regarding a Negative Balance Applied Report, there is a section of the HNE Provider Manual that explains how the Negative Balances are applied. This section is on pages 28-31 in the HNE Provider Manual located at the following link: http://hnewss/provrel/Shared%20Documents/Provider%20Manual.pdf
CORRECTION TO FLU POLICY:
Posted on October 22, 2010
Influenza Virus/Flu Vaccine: HNE covers the flu vaccine for any member over six (6) months of age. The flu vaccine may be obtained through the PCP. If the PCP does not have flu vaccine, it may be obtained elsewhere, however, the member would have to pay for it and then submit for reimbursement. They will […]
FAQ’S Regarding the 2011 Immunization Administration Codes
Posted on October 22, 2010
Following are a list of FAQs regarding the 2011 Pediatric Immunization Administration Codes. Q. I heard that the pediatric immunization administration codes (90465-90468) are being deleted for 2011. Is that true? A. Yes, that is true. Starting January 1, 2011 codes 90465, 90466, 90467 and 90468 will be deleted from the CPT nomenclature. Q. […]
New HCAS Eligibility Site
Posted on October 22, 2010
Click below to see the new site that HCAS has created to centralize eligibility checks for Massachusetts health plans. http://www.hcasma.org/index.html
Attention Durable Medical Equipment (DME) Providers
Posted on October 14, 2010
If you are supplying DME to an HNE Medicare Advantage member or an HNE Be Healthy member, please remember that the standard AELK Master List on HNEDirect may not apply to these members. There is a note at the top of the AELK Master List that states: FOR HNE MEDICARE ADVANTAGE OR HNE BE HEALTHY […]
Reminder to HNE Be Healthy (MassHealth) Providers!
Posted on October 14, 2010
Please remember that not all HNE Commercial providers and facilities are participating in the Be Healthy Plan. If you are a Be Healthy Provider, and you need to find a specialist or facility for a Be Healthy member, please go to our website at hne.com, click the “Be Healthy” box on the bottom left hand […]
Reminder: Providers Submitting Refund Checks to HNE
Posted on October 13, 2010
Please remember to contact our Provider Claims Queue at 413-233-5026 before submitting any refund checks specific to an overpayment of a claim. This will allow our Claims Department to pend the applicable claim. By contacting the Queue prior to sending the refund, it will ensure the proper posting of your refund. You can reach the […]
New Radiology Management Partner-effective December 1, 2010
Posted on October 5, 2010
Beginning December 1, 2010, HNE will partner with MedSolutions, Inc (MSI) for radiology management. MSI will replace our current radiology management vendor, National Imaging Associates (NIA). MSI is well known in Massachusetts, and many of you already have worked with MSI when ordering advanced imaging studies for patients with other insurance coverage. HNE is working […]