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Specific fax numbers for Pharmacy Prior
Authorizations and Medicare Part D
We have a designated fax line for incoming Pharmacy
Prior Authorizations. We also have a specific Medicare
Part D fax line for enhanced receipt and tracking.
Please use these numbers to help efficiently process
authorizations.
This information is available in the Contact
Us section.
3/8/2010
Walgreens free
blood glucose testing event
The clinic is available to anyone age 18 or older.
All 24-hour Walgreen stores will hold the event
on February 5. Anyone not living near a 24-hour
Walgreens may call 1 (800) 925-4733 or visit Walgreens for
a variety of locations nearest to them. Read
more
details about the event
(PDF).
2/3/2010
Tracer claims no longer accepted
As a reminder, we are no longer accepting tracer
claims. These are claims that are resubmitted due
to nonpayment. They are also known as rebills,
second submissions or duplicate billings.
Please use Asuris
Online Services for Providers for
basic claim status (if the claim has been received,
is in process or has been completed). This process
also applies to tracer claims.
If you are unable to find the information you’re
looking for online, please contact Customer
Service.
1/5/2010
Consultation codes
no longer reimbursed by Centers for Medicare & Medicaid
Services (CMS)
CMS no longer reimburses for most consultation
codes. Effective January 1, the only consultation
codes still eligible for reimbursement are follow-up
inpatient telehealth consultation, HCPCS
G0406 - G0408. The savings realized by
CMS due to this determination will be redistributed
among existing evaluation and management (E&M)
services. CMS also adjusted its reimbursement for
the surgical global period to reflect the higher
value of office visits during the global period.
Asuris adheres to CMS determinations; therefore,
we have made the same adjustments to our reimbursement
methodology for Asuris TruAdvantage and other
Medicare members. We will continue to pay a percentage
of CMS
allowances as currently established. No other
Asuris lines of business are affected by this
change.
12/29/2009
Is your listing in our Provider
Directory correct?
Please help us maintain the accuracy of our Provider
Directories by using the Provider
Information Update Form
or contacting provider
services when you have any of the following
changes to your practice:
- A physician or other health care professional
joins your clinic
- A provider leaves your clinic
- Your clinic/practice is no longer in business
- Change of address, phone number, tax ID or
NPI number
11/11/2009
Coordination of Benefits (COB) is changing
Effective with dates of services on or after September 1, Asuris has changed the way COB claims are processed. We are making the change to comply with a new rule issued by the Office of the Insurance Commissioner (OIC). We will no longer estimate secondary plan payments if the primary Plan’s payment amount is unknown. This new rule applies to all employer groups and Individual plans. However, Employee Retirement Income Security Act (ERISA) self-funded groups and Medicare plans are exempt.
For more information, visit the Office of the Insurance Commissioner Web site or contact your provider consultant.
09/02/2009
Asuris Online Services for Providers Outage Notification
There will be a system upgrade this weekend which will result in limited access to some information. This will only impact patients on our medical products - Asuris Embark®, Vantage®, MotivateSM and HSA Healthplan 2.0SM; and our dental products - AspireSM, EnhanceSM and AchieveSM. The outage is scheduled to begin at 4 p.m. PDT, on Friday, September 4 and continue through Monday, September 7 ending at 9:00a.m PDT. We apologize in advance for any inconvenience this may cause you.
09/01/2009
Medicare alert to update account information
in 48 hours is a scam
The Centers for Medicare & Medicaid Services
(CMS) has notified us of a scam where perpetrators
are sending faxes to physician offices posing as
Medicare carriers or Medicare Administrative Contractors
(MAC). The fax instructs staff to respond to a
questionnaire to update account information within
48 hours in order to prevent Medicare payment gaps.
The fax may have the CMS logo and/or the contractor
logo to enhance the appearance of authenticity.
If you receive a request for information that
seems suspicious, please check with your contractor
before submitting any information. Medicare providers
should only send information to a Medicare contractor
using the Provider Call Center
Toll-Free Numbers Directory found in the download
section of the CMS
Web site.
Asuris Launches Consumer Engagement
Campaign
With health care reform at the center of debate
in D.C. and no clear answers on how to achieve
a working system, or reign in runaway health care
costs, Asuris continues in our efforts to educate
and engage consumers in becoming more active participants
in the health care system.
To help in this long-term endeavor, early this
week Asuris launched a newly revamped, interactive www.WhatsTheRealCost.org Web
site.
This site is part of our ongoing campaign to educate
consumers about the real costs of health care,
how the choices they make each day impact those
costs, and that without addressing costs, we cannot
achieve meaningful transformation of the health
care system.
This campaign is geared toward all consumers,
as the more interactive site will appeal to a variety
of demographics. We encourage you to visit www.WhatsTheRealCost.org and
experience the various elements of this Web site
designed to help people understand the problems
facing our health care system, and to inspire them
to take action toward meaningful health care reform.
If you have questions about www.WhatsTheRealCost.org please
contact your provider consultant.
07/17/2009
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