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Provider Library

Administrative Manual

Core Manual

Section
Change
Revision Date
Introduction (PDF) New content added and formatting changes made. Now includes Asuris Plan Affiliates and Subsidiaries section.
11/2008
Who to Contact (PDF) New section replacing the Addresses and Phone Numbers You’ll Need section
11/2008
Accidental Injuries (PDF)  
08/2008
Appeals (PDF) Current
08/2008
Appeals (PDF)

New section:
Effective 1/15/09

10/15/2008
Billing Information (PDF) Added Asuris MotivateSM payment vouchers.
08/2008
Coordination of Benefits (PDF)  
08/2008
Corrective Coding Edit Information (PDF)  
08/2008
Credentialing (PDF) Formatting changes
11/2008

Forms (PDF)

 
08/2008
Fraud and Abuse (PDF) Formatting changes
11/2008

Medical and Reimbursement Policy (PDF)

New section name. Now includes Reimbursement Policy information.
11/2008
Medicare Beneficiaries (PDF)  
08/2008
Member Cards (PDF) Added Asuris MotivateSMmember cards and information
08/2008
Message Codes (PDF)  
08/2008
Asuris Online Services for Providers (PDF) Formatting changes
11/2008
Retail Prescription Benefits (PDF) Formatting changes
11/2008
Quality Improvement (PDF)  
08/2008
Care Management (PDF) Formatting changes. Added Advicare information.
11/2008
EmbarkSM, VantageSM and MotivateSM(PDF) Added Asuris MotivateSMinformation
08/2008
Healthy Options (PDF)  
08/2008
Asuris TruAdvantage (PDF) Added new member card samples, 2009 Benefits Summary and updated Advance Directive language.
11/2008
Glossary (PDF) New section
11/2008

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Behavioral Health Manual

Section Change Revision Date 90 Day Notice
Mental Health Treatment (PDF)   08/2008 11/2008
Chemical Dependency Treatment (PDF)   08/2008 11/2008
Mental Health and Chemical Dependency Clinical Practice Guidelines   08/2008 11/2008

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Professional Manual

Section Change Revision Date 90 Day Notice
Alternative Care (PDF)   08/2008 11/2008
Home Medical Equipment & Prosthetics (PDF)   08/2008 11/2008
Laboratory Services (PDF)   08/2008 11/2008
Obstetrical Care (PDF)
  08/2008 11/2008
Practitioner Guidelines (PDF)   08/2008 11/2008
Radiological Services (PDF)   08/2008 11/2008
Therapy Guidelines (PDF)   08/2008 11/2008
Vision (PDF)   08/2008 11/2008

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Facility Manual

Section Change Revision Date 90 Day Notice

Ambulance (PDF)

  08/2008 11/2008
Free Standing Ambulatory Surgical Centers (PDF)   08/2008 11/2008
Home Health (PDF)   08/2008 11/2008
Home Infusion (PDF)   08/2008 11/2008

Hospice (PDF)

  08/2008 11/2008
Home Medical Equipment and Prosthetic Devices (PDF)   08/2008 11/2008
Hospital Guidelines (PDF)   08/2008 11/2008
Skilled Nursing (PDF)   08/2008 11/2008

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