Provider Brief – May 2019

Welcome to our May edition of the Provider Brief! I am excited to provide you with news and updates regarding ongoing initiatives and deliver key information as we work together to improve the health of the patients we serve.

This month we have provided information about Expanded Medicare Advantage and Part D updates as well as CMS’ Merit-based Incentive Payment System. You will also read a summary of respiratory bundle work along with valuable information about upcoming blood pressure screening seminars.  Lastly, we have the privilege to introduce you to our new Medical Director, Dr. Scott Swabb!

Please feel free to contact us directly at (937) 499-7441(937) 499-7441 if you have any questions or if you would like to speak to our Medical Director.

Thank you for all that you do!

Yours sincerely,

Renee George

Download a printable version of the May newsletter.

In This Issue

Network Operations (May 2019)

Directory Updates

A person who enrolls in a health insurance plan relies on provider directories to access in-network providers for their care. When the information is incorrect, it can create a barrier to getting the healthcare they need. 

Premier Health Plan’s provider directories, utilized by our employee members, should be updated every 30 calendar days for continued accuracy. Practices must provide accurate office location, phone number(s) and hours of operation data to Premier Health Group (PHG). It’s important to notify us when this information changes. 

Please communicate all provider changes (i.e. new providers, terminations, office changes, accepting new patients/not accepting new patients, etc.) to the PHG team using the Provider/Change of Address / Deletion Form.  

This form is a fillable PDF file, which means you can type the needed information directly into the form on our website. Please email the completed form to PHG@PremierHealth.com or fax to (937) 641-7377(937) 641-7377.

Medical Pay Policies

View the most recent commercial policies and procedures.

Back to the May 2019 Issue

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