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Noticias para los proveedores

 

Noticias para los proveedores

October

Ambetter Health Solutions to Begin January 1, 2025

10/21/24

Ambetter Health Solutions is a new offering from Ambetter Health that will be available to individuals who receive a defined contribution from their employer to purchase individual health insurance, such as through Individual Coverage Health Reimbursement Arrangements (ICHRAs).

July

OHIO REPRODUCTIVE HEALTH BILLING REQUIREMENTS UPDATE

07/22/24

Beginning March 1, 2024, the billing requirements are changing for Reproductive Health Services in the State of Ohio.

November

Epic Payer Platform

11/08/23

We are pleased to be participating in Epic Payer Platform, a platform that enables more secure, efficient bi-directional data exchange between providers and health plans, as part of our broader interoperability strategy.

Find-a-Provider Directory

11/06/23

Thank you for your continued partnership. We remain committed to ensuring our members have access to quality care from valued providers such as yourself.

October

Express Scripts Transition: Frequently Asked Questions

10/17/23

This FAQ provides additional information on the migration of our Pharmacy Benefit Manager (PBM) services from CVS® to Express Scripts®, effective January 1, 2024.

Important Pharmacy Claims Processing Change, Effective January 1, 2024

10/01/23

We are pleased to announce that, effective January 1, 2024, Express Scripts® will begin processing pharmacy claims for our plan members.

August

Ambetter Member Plan Benefits Resume for Applicable COVID-19 Testing, Screening, and Vaccination Services as of August 1, 2023

08/01/23

Since the federal Public Health Emergency (PHE) related to the COVID-19 pandemic ended on May 11, 2023, Ambetter is committed to providing a smooth transition for both our members and providers as we resume business as usual.

March

Ambetter Claims Submission Reminder

03/27/18

Thank you for your continued partnership with Ambetter by Buckeye Health Plan. We have recently identified an increased number of rejected claims related to submissions with incorrect member identification numbers and/or provision of taxonomy number. To ensure that you are paid timely and accurately for the care that you provide to our members, we have provided some helpful information to be shared with your billing and patient accounts team.

January

Affordable Care Act (ACA) Questions

01/30/17

Recent news coverage about possible changes to the Affordable Care Act (ACA) may be causing you and your patients to have questions about their health insurance coverage.

July

Prior Authorizations for Bone Marrow Procedures

07/29/16

Effective November 11, 2016, bone marrow aspirations and biopsies will no longer require prior authorization.
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