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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 |
|


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