1. January Updates
Medicare Advantage

2. https://www.uhcprovider.com/en/admin-guides/2018-uhc-admin- guide.html
Unitedhealthcare
Care Provider Administration Guide(Pg. 5)
guide.html
- New Chapters: Pharmacy, Credentialing & Re- credentialing
- Effective April 1st, 2018 unless newly contracted after January 1st, 2018
HEDIS requests can be sent out starting Jan. 1st (Pg. 7)
Link Updates & Enhancements (Pg. 8)
- Coverage dates added for termed policies, Claim Estimator and more plans added to referalLink

3. Unitedhealthcare Update to Dual Special Needs Program (Pg. 21)
PA System to display outcome findings for Chemotherapy PA (Pg. 26)
Coverage of Annual Wellness Visit (Pg. 42)
Notification of OP Chemotherapy Injectables (Pg. 43)
Medical Coverage Summary Updates
Medical Policy Updates (Pg. 44)

4. humana Updates to PA and Notification List
-practice-newsletter/preauthorization-updates
New Opioid Drug Safety Edits
-practice-newsletter/opioid-drug-safety
Best Practices for Documentation
0646
Medical Record Review Resources
record-review
Screening mammo info.

5. humana My Practice Newsletter Claim processing edits
processing-edits/search/recent- notifications?=recent- notifications&SearchTerm=,&num=10&offset=3
Medical and Pharmacy Coverage Policies
x?sortfield=reviewdate&policyType=medical
Screening mammo info.

6. aetna Protecting Identities MNS Contract Ends Jan 1st
social-security-numbers.html
MNS Contract Ends Jan 1st
SNF credentialing, authorizations & claims payments should go direct to Aetna
Medical Policy Updates
bulletins/medical-clinical-policy-bulletins/changes.html
Educational Webinars
manuals/educational-webinars.html
Surgical dressings,

7. cigna Coverage Policy Update
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Medical Policy Update
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8. Thank you!!!
Phone:
Take all of these documents back to your commercial billers so they can read thru these updates as well. And please remember that there could be exceptions to the timely filing guidelines in your contract. So please also check to see what your contracts have in them about timely filing.