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WEBResources General Resources Integra Partners Provider Manual Contact Integra Partners Payer COVID-19 Response Program Fee Schedule Configuration Grids Primary Fee Schedule Integra Partners’ Proprietary Systems Resources Que Training Manual Electronic Data Interchange (EDI) Enrollment Information Secondary Claim Submission Guide …

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Introducing: Standardized Prior Authorization Request Form

WEB1 Please attach plan specific templates that are required for supporting clinical documentation. 2 Not all services listed will be covered by the benefits in a member’s health plan product. 3 This form does not replace payer specific prior authorization requirements. *Requesting Provider Name and NPI#: Health Plan Fax #:

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Fidelis Care Authorization Requirements

WEBF. Services for the following codes performed in free standing ambulatory surgery. centers billing with bill type 0831 require an authorization (10060, 11100, 11900 and. 17000, 20600, 20605, and 20610). G. Ear repair and ear piercing: 69300 and 69090. H. Eyelid & ocular surgery: 65760-65771, 65772-65775, 67900-67911.

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Integra Partners Group Purchasing Organization (GPO)

WEBTrella Health is an industry-leading healthcare analytics and market intelligence company specializing in the post-acute care space. Trella provides unmatched access to clear, actionable, data-based insights that help you focus sales and marketing efforts, streamline operations, and nurture the trusting relationships that are

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About Integra Partners Group Purchasing Organization (GPO)

WEBTrella Health’s CRM integrates with over 30 leading EHRs, including Brightree, Bonafide, and Wellsky. • Better together: Data + CRM • Monitor and report success in real-time. • Access insights on-the-go. • Keep account history in one place. For more information, visit www.trellahealth.com. Market Intelligence and CRM for HME

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PARTNERING TO UPPORT THE DMEPOS EEDS OF ATIENTS

WEB1.6M. Payer LOBs Using Integra’s Network. 60. Integra Partners is a leading Durable Medical Equipment Orthotics and Prosthetics (DMEPOS) Healthcare Management Company. With the help of our valued network partners like you, we provide Payers with a single-source solution for home equipment and services.

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PRIOR AUTHORIZATION REQUEST FORM

WEBPRIOR AUTHORIZATION REQUEST FORM Please use the fax numbers listed below for the submission of requests for prior authorizations. Inpatient Admissions 212-402-4468 LTSS: SDC, Adult Day Care, Home delivered meals,

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Integra Group Purchasing Organization (GPO)

WEBpricing currently enjoyed by more than 2,000 hospitals and over 50,000 additional health care sites throughout the nation. 2. What services are being offering through this program ? Categories for potential savings include: • Capital Equipment • Computer Hardware/Software

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Integra Partners Credentialing Portal DORI Training Manual

WEB2 Table of Contents • About Integra Partner’s DORI Provider Credentialing Platform • My Dashboard Overview • Add a Staff Member • Set Staff Member Status to INACTIVE • Edit Staff Member Details • Confirm Your Organization Staff Roster • Integra Contact Information Click to add text

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ICD-10 Provider FAQ

WEBHealth plans, health care providers, and health care clearinghouses that conduct standard health care transaction must use ICD-10-CM diagnosis codes for services occurring on or after October 1, 2015, and ICD-10-PCS codes for discharges occurring on or after October 1, 2015. 6. What is Integra’s approach to mapping ICD-9 codes to the ICD-10

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Durable Medical Equipment Prior Approval Request Form

WEBprivacy regulations such as the Health Insurance Portability and Accountability Act of 1996 (HIPAA). This information is intended only for the use of the recipient (s) named above. If you are not the intended recipient, or a person responsible for

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Neighborhood Health Plan of Rhode Island (NHPRI): DME …

WEBNeighborhood Health Plan of Rhode Island (NHPRI): DME Authorization Form . DATE: PRIORITY: Expedited Request . Hospital Discharge/SNF *** By checking Expedited Request, you are stating that processing this request in the Standard time (14 days) for making a determination could seriously jeopardize the life or health of the enrollee or

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Payor COVID-19 Response Program

WEBHealth Plan Effective Date LOBs Payor COVID-19 Response Program Updated 4/9/2020 This does not apply to new requests or recerts, replacements only Providers should continue following the usual protocols when servicing members, including checking eligibility and benefits and reaching out to members prior to

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Durable Medical Equipment (DME) Web Portal Presentation

WEBHow to Contact our Client and Provider Services team Email: [email protected] (preferred) Phone: 1 800-575-4517 (option 3) For prompt service, please have all pertinent information available. When emailing, make sure to include the insurer with a description of the issue and member/provider/case details when applicable.

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Welcome to the 2018 EmblemHealth Special Needs Plan …

WEBA Health Risk Assessment survey is conducted to identify medical, psychosocial, cognitive, functional and mental health needs and risks. Attempts to complete the initial HRA are conducted by mail and telephone within 90 days of enrollment and annually thereafter. Multiple attempts are made to contact the member.

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Electronic Data Interchange (EDI) & Que

WEBOn Que you can locate the Payer Report, which includes the unique, 4-digit Payer ID for each health plan billed. To locate this report, go to the “My Reports” tab on and select “Integra Payer Report” at the bottom right corner.

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PRE-AUTHORIZATION REQUEST FORM

WEB100 Wall Street, Suite 2502, New York, NY 10005 PRE-AUTHORIZATION REQUEST FORM Integra Tax ID #421685996 Integra NPI #1962502229 Auth. Request Date: Date of RX/LMN: Within 30 Days?

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Which NPI Should Be Used When Plan Name TIN TIN

WEBHealth Partners Plan Integra 421685996 Provider NPI Healthfirst Integra 421685996 Integra NPI - 1962502229 Highmark Blue Cross Blue Shield of Western New York Integra 421685996 Integra NPI - 1962502229 Independent Health Integra 421685996 Integra NPI - 1962502229 Local 1199 National Benefit Fund (Only O&P) Integra 421685996 Integra …

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Integra Partners Utilization Management

WEBIntegra Partners Utilization Management. MetroPlus AUTHORIZATION REQUEST . Telephone: (866) 679-1647 Fax: (212) 908-5185. Date: _____ PATIENT INFORMATION:

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