AAHAM
- 2. CHC NE – 2006 Recap Service Area – January 1, 2006 Service Area – January 1, 2007 13 HMO/POS/PPO Counties Added 12 New Hospitals Added 778 New Physicians/Facilities Added (746 Physicians, 32 Facilities) Business Office Reviews Implemented Front-End/Back-End Contract Audits
- 3. First Health Re-Branding / Network Consolidation Healthcare Preferred will become the First Health Network effective 1-1-08. CCN is being retired as of 12-31-06. Clients are being moved to the First Health Network effective 1-1-07. SouthCare will become the First Health Network effective 1-1-08. The First Health Network will remain the same. This name is being retired effective 12-31-06. Clients are moving to the Coventry Health Care National Network. No changes as a result of network consolidation for Coventry Health Care of Nebraska, Inc. New Logo… Old Logo…
- 4. NPI – National Provider Identifier Compliance Date – 5/23/2007 Coventry accepts new HCFA 1500 and UB-04 forms Coventry accepts NPI’s on HIPAA transactions when accompanied by other identifiers until 5/23/2007 Help us update your information Fax – 1-866-602-1249 Email – dkthurman@cvty.com
- 5. Medicare Advantage Private Fee For Service plans offered by Coventry Health Care No additional contracting: just accept Medicare patients Reimbursement based on current Medicare rules No prior authorizations, no referrals Dedicated web/phone support: www.advantrafreedom.com , or 1-800-713-5095
- 6. FREE, web-based tool for Coventry providers Track claims online, Real-Time View RA’s online Verify Member Eligibility/Benefits (accumulators) View/Print Member ID Cards Coming Soon – request claim adjustments, view/submit authorization requests, directly submit claims
- 7. Best-In-Class Provider Relations Omaha-based Dar’Shea Thurman – dkthurman@cvty.com 1-800-471-0240 x6347 Tonya Van Houten – tmvanhouten@cvty.com 1-800-471-0240 x6374 Do not hesitate to call with issues or to schedule a visit