Provider News

Provider News

06/17/19 – IdealCare Provider Manual updated effective 6/17/2019
05/01/19 – IdealCare Provider Manual updated effective 5/1/2019
04/03/19 - QW Modifier Update Effective 5/3/2019
03/01/19 - IdealCare Provider Manual and Prior Authorization List updated effective 4/1/2019
01/22/19 - DME Prior Authorization Required Supporting Documentation effective 1/22/2019
01/14/19 - Notice to Physicians and Providers
12/27/18 - IdealCare Provider Manual updated effective 1/1/2019
12/24/18 - Registration Information – New Provider Portal effective 1/1/2019
11/30/18 - Changes to IdealCare Prior Authorization List effective 1/1/2019
11/30/18 - IdealCare Electronic Claims Process effective 1/1/2019
11/09/18 - IdealCare Claims and Customer Service Changes Effective 1/1/19
09/05/18 - IdealCare Provider Manual updated effective 9/5/2018
08/03/18 - Pharmaceutical Management Procedures Notice
08/02/18 - Financial Incentives Notice
07/17/18 - Medical Necessity Criteria Notice
07/01/18 - IdealCare Provider Manual updated effective 7/1/2018
07/01/18 - Federal External Review Process
06/08/18 - IdealCare Provider Manual updated effective 6/8/2018
05/01/18 - Reminder: IdealCare Reconsiderations & Appeals Process
03/30/18 - IdealCare Provider Manual updated effective 3/30/2018
03/14/18 - Consolidated Credentialing Verification Organization (CVO) presentation
02/20/18 - Consolidated Credentialing Verification Organization (CVO) Implementation to begin April 1, 2018
12/31/17 - 2017 Winter Newsletter
09/05/17 - Sendero IdealCare Premium Payment Deadline Extended
07/28/17 - Change Healthcare now available for 837 Professional and Institutional claims submission
01/17/17 - 2016 Winter Newsletter
01/03/17 - IdealCare ERA and EFT Process Effective 1/1/17
01/01/17 - IdealCare Claims Administration Changes Effective 1/1/17
12/30/16 - Changes to IdealCare Prior Authorization List effective 2/1/2017
12/12/16 - New IdealCare Member ID Card Effective 1/1/17
12/12/16 - IdealCare Member Identification Number Format Change Effective 1/1/17
10/27/16 - IdealCare Claims Transition Effective 1/1/2017
08/24/16 - Mosquito Repellent Benefit Information
06/15/16 - Zika Webinar for Providers
11/02/15 - Provider Network Update: Seton Termination Notice
08/18/15 - Quality Improvement Program Notice
08/18/15 - Complex Case Management Program Notice
08/18/15 - Disease Management Program Notice
08/18/15 - Medical Necessity Criteria Notice
08/18/15 - Utilization Management Notice
08/18/15 - Financial Incentives Notice
08/18/15 - Member Rights and Responsibilities Notice
08/18/15 - Pharmaceutical Management Procedures Notice
08/17/15 - ICD-10 Testing Guidance – Facility
08/17/15 - ICD-10 Testing Guidance – Professional
06/30/15 - Quality Improvement Program
06/30/15 – Behavioral Health Toolkit for PCPs
06/30/15 – Practitioner and Provider Annual Reminder
06/22/15 – Sendero ICD-10 Claim Testing
03/02/15 - Provider Communication with Members Notice
02/24/15 - Provider Communication Notice
2014 Fall Newsletter
12/05/14 - Utilization Management Decision Making Standards
12/05/14 - Provider Quality Improvement Program Notification
10/22/14 - Provider Case Management Program Notice