August 2009
Welcome to The Connection Online
The Connection Online offers additional news and articles not found in our printed issue, The ConnectionSM (PDF).
We hope you find The Connection Online to be a helpful, supplemental resource and encourage you to read the printed and online issues. Our newsletters are published quarterly in February, May, August and November.
Have feedback? Contact Provider Communications.
Updated Utah Diabetes Practice Recommendations
The Utah Diabetes Prevention and Control Program recently updated their practice guidelines for the prevention and management of diabetes.
Annual satisfaction survey results
We appreciate all of the physicians, office managers and clinic administrators who completed our annual Physician and Office Manager Satisfaction Survey last year.
Medicare
Medicare crossover claims for new products
We are now receiving Medicare crossover claims electronically for Regence Innova®, Engage®, ActivateSM and HSA Healthplan 2.0SM members. When Medicare processes a claim, the information is transferred to Regence directly. This allows us to receive and process the claim under the secondary coverage, saving you time and eliminating the need for you to submit a separate claim.
Additional Medicare updates:
Regence MedAdvantage and Medicare Script appeal process changes
Medicare medical record reviews and documentation tips
TriWest
TriWest Healthcare Alliance awarded TRICARE contract
On July 13, TriWest Healthcare Alliance was awarded the contract to continue providing military families access to high quality health care and manage the 21-state TRICARE West Region for the Department of Defense (DoD). The contract enables TriWest to continue to support the DoD in meeting the health care needs of 2.7 million active duty personnel, their families and retirees. The contract includes a transition period, plus five one-year option periods for healthcare delivery beginning April 1, 2010.
Read more on the TriWest Web site»
Additional TriWest updates:
Receive TriWest communications via email
Submit TRICARE referrals and authorizations online
Administrative and Billing Updates
Pharmacy
Policies
Join our medical policy discussions
We welcome your input and feedback as we draft our medical policies. It's easy to join our email reviewer list. Simply complete our request form.
While we prefer to receive input as policies are developed, we also have a formal process that allows physicians, other health care professionals and facilities to submit additional information, such as clinical trial results, that may warrant a policy review.
Updates to medication policies and list
Medication policies
Summaries of recent changes (PDF) and detailed policies are available in our Medication Policy Manual.
Preferred Medication List/Formulary (PML)
View our Preferred
Medication List/Formulary (PML) in alphabetical
order or by therapeutic
class.