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Asuris Northwest Health serves Yakima, Walla Walla and other communities in Eastern Washington with affordable medical and dental insurance plans.
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Administrative Manual
Core Manual    
Section
Change
 Revision Date
Introduction (PDF) Updated newsletter and confidentiality information
11/2009
Who to Contact Information moved to Contact Us and other sections of our Web Site
11/2009
Credentialing (PDF) Formatting changes
11/2008
Identifying Members (PDF)

Added Emerge CoreSM, Emerge PlusSM, Emerge HSA PlanSM and Emerge HSA 100 PlanSM member card samples
3/2010
Filing Claims (PDF) Removed information on resubmission of tracer claims
02/2010
Payment (PDF) Added information regarding Emerge Individual and family products vouchers
3/2010
Appeals (PDF)

Added external reviewer timeframe for billing disputes and updated member appeal information
1/2010
Fraud and Abuse (PDF) Expanded section to include topics related to preventing fraud, External Audit, Federal False Claims Act and member card fraud
11/2009
Medical and Reimbursement Policy Converted to Web-based format
2/2010
Care Management (PDF) Formatting changes and added Advicare information
11/2008
Quality Program Converted to Web-based format
2/2010
Behavioral Health Converted to Web-based format
3/2010

Provider Center (formerly known as Asuris Online Services for Providers)

 Converted to Web-based format and updated the references to the name of this tool
2/2010
Retail Prescription Benefits (PDF) Formatting changes
11/2008
Product Overview Added Asuris Emerge Individual and Family products and converted to Web-based format
3/2010
Healthy Options/State Children’s Health Insurance Plans (SCHIP) (PDF) Updated information and applied formatting changes
5/2009
Medicare Advantage Plans (PDF) Added 2010 benefit summaries, new member card samples and changed appeal language
1/2010
Self-Managed and Consumer Directed Products (PDF) Updated deductible options for Embark and Vantage
8/2009

Forms (PDF)

  
8/2008
Medicare Beneficiaries (PDF)  
8/2008
Glossary (PDF) Updated definitions
2/2010

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Professional Manual    
Section
Change
 Revision Date
Alternative Care (PDF)   08/2008
Home Medical Equipment & Prosthetics (PDF)   08/2008
Laboratory Services (PDF)   08/2008
Obstetrical Care (PDF)
  08/2008
Practitioner Guidelines (PDF)   08/2008
Radiological Services (PDF)   08/2008
Therapy Guidelines (PDF) Speech therapy guidelines revised 11/2009
Vision (PDF)   08/2008

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Facility Manual    
Section
Change
 Revision Date

Ambulance (PDF)

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

Hospice (PDF)

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

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