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Administrative Manual

Our manuals contain dental and medical policy and procedure information that can be used as a day-to-day reference by our providers and their staff.

Notification of content changes
Updates to manual sections are posted at the beginning of the month in which they occur and a notification is included in our newsletter, The Connection OnlineSM. Our newsletter is published in February, April, June, August, October and December. Sign up to receive our newsletters via email. Please review new content promptly to ensure you have the most current information.

Learn more about Asuris, view our Code of Business Conduct policy or our Confidentiality information and requirements.

Core Manual
Section Change
Revision Date
Appeals Added External Reviewer contact information to the Provider external review process
6/2011

Asuris Policies

  • Dental
  • Medical
  • Medication
  • Reimbursement

Section renamed. Dental policy information added.
8/2011
Behavioral Health Updated the Milliman Care Guidelines information
12/2011
Care Management Added information about our Integrated Care Management program
1/2012
Credentialing

Converted to Web-based format
8/2010

Facility Guidelines
Includes: Inpatient, Outpatient, Freestanding ASC, Hospice, Skilled Nursing, Home Health, Home Infusion Therapy, Home Medical Equipment & Prosthetic Devices and Ambulance

 Added sales tax information in the Home Medical Equipment & Prosthetic Devices section
10/2011
Filing Claims Converted to Web-based format
11/2010
Fraud and Abuse Converted to Web-based format
4/2010
Healthy Options/State Children’s Health Insurance Plans (SCHIP) (PDF)
•

Added information about the Partnership Access Line (PAL)
•

Added requirement that National Drug Codes (NDC) must be included on professional and outpatient hospital claims
12/2011
Identifying Members (PDF) Updated the information about what is displayed on Asuris TruAdvantage member cards
1/2012
Medicare Advantage Plans

Updated benefit information for 2012
1/2012
Payment (PDF) Added information about redesigned Asuris TruAdvantage vouchers
1/2011
Quality Program Converted to Web-based format
2/2010

Retail Prescription Benefits

 Converted to Web-based format
5/2010

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Professional Manual
Section Change
Revision Date
Alternative Care (PDF)

Section format changed and content updated to reflect current processes and information
10/2011
Home Medical Equipment & Prosthetics Converted to Web-based format
12/2011
Laboratory Services (PDF) Section format changed and content updated to reflect current processes and information
10/2011
Obstetrical Care (PDF)  
8/2008
Practitioner Guidelines (PDF) Added provider responsibility information
10/2011
Radiological Services (PDF) Section format changed and content updated to reflect current processes and information
10/2011
Therapy Guidelines (PDF) Section format changed and content updated to reflect current processes and information
10/2011
Vision (PDF) Section format changed and content updated to reflect current processes and information
10/2011

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