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June Updates Medicare Advantage
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Unitedhealthcare Feedback on Network Bulletin (Pg. 3)
Colorectal Cancer Screening Webinars (Pg. 7) UnitedHealth Premium Designation Letters (Pg. 8) Overpayment Mailing Address (Pg. 10) CIP Provider Portal will no longer be effective as on July 1st (Pg. 10) Telemedicine (Pg. 32) Timely Filing: Administrative Guide (Pg. 88) Medical Policy Updates
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humana Medical and Pharmacy Coverage Policies
Policy for billing services when an Inpatient was not covered Time Frame: 1 calendar year providers/education/claims/electronic-submission Immediate Preauthorization determination providers/education/whats-new/online- preauthorization-tool Medical and Pharmacy Coverage Policies reviewdate&policyType=pharmacy
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aetna Medical Policy Updates
clinical-policy-bulletins/changes.html Newsletter - Respond quickly to medical record requests (Pg. 11) - Organization determinations (Pg. 12) - Reminder to keep contact information updated (Pg. 13) - Precertification response timeline (Pg. 13) Time Frame: 120 days ( Educational Webinars manuals/educational-webinars.html
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cigna Timely filing requirements
professionals/resources-for-health-care- professionals/clinical-payment-and-reimbursement- policies/claim-policies-procedures-and- guidelines/when-to-file?WT.z_nav=healthcare- professionals%2Fresources-for-health-care- professionals%2Fclinical-payment-and-reimbursement- policies%2Fclaim-policies-procedures-and- guidelines%2Fclaim-policies-and- procedures%3BBody%3BTimely%20Claim%20Filing%20P olicy
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