News

OUR PROVIDER NEWSLETTER INCLUDES ARTICLES ON ATTENTION DEFICIT HYPERACTIVITY DISORDER, COVERAGE OF INFLUENZA VACCINE FOR THE 2014-2015 SEASON, AND A PROVIDER WORD SEARCH.

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Certificate of Recognition awarded to Dr. Juan Zambrano.

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Effective March 1, 2014, Beacon Health Strategies will be the managed behavioral health organization (MBHO) for the Medicaid and CHIP products.

 

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The Affordable Care Act (ACA) requires insurance companies to provide 90 days for Member with subsidized marketplace coverage to pay all unpaid premiums. Read how this pertains to our Members.

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TMHP has published a list of Providers who have attested for the primary care rate increase under the Affordable Care Act. You are encouraged to submit your attestation by April 1, 2014. 

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The National Uniform Claim Committee (NUCC) has approved the Version 02/12 1500 Claim Form that accommodates reporting needs for ICD-10 and aligns with requirement in the Accredited Standards Committee X12 (ASCx12) Health Care Claim: Professional (837P) Version 5010 Technical Report Type 3.

 

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We are proud to have the Memorial Hermann Physician’s Organization participate in our Health Insurance Marketplace (HIM) network! 

 

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Effective April 2014, Community will no longer distribute Provider panel reports via U.S. Mail. Instead, the Provider panel reports will be available online in real time.

 

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Community has revised its Speech Therapy policy, effective May 1, 2014.

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