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Asuris Northwest Health serves Yakima, Walla Walla and other communities in Eastern Washington with affordable medical and dental insurance plans.
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Administrative Manual

Our manuals contain Asuris policy and procedure information. We encourage all physicians, other health care professionals, facilities and their staff to use them as a day-to-day reference and as a training tool for new employees.

Notification of content changes
Updates to manual sections are posted at the beginning of the month in which they occur and a notification is included in our newsletter, The Connection OnlineSM. Our newsletter is published in February, April, June, August, October and December. Sign up to receive our newsletters via email. Please review new content promptly to ensure you have the most current information.

Learn more about us. View our Code of Business Conduct policy and Confidentiality information and requirements.

Core Manual    
Section
Change
Revision Date
Appeals (PDF)

Clarified risk for investigational denials

Updated mail/fax information

6/2010
Behavioral Health Converted to Web-based format
3/2010
Care Management Converted to Web-based format
8/2010
Credentialing

Converted to Web-based format

8/2010
Filing Claims (PDF) UB-04 Point of Origin coding changes
7/2010

Forms (PDF)

Removed. Refer to the Forms section in our Provider Library.
6/2010
Fraud and Abuse Converted to Web-based format
4/2010
Glossary (PDF) Updated definitions
2/2010
Healthy Options/State Children’s Health Insurance Plans (SCHIP) (PDF) Updated mental health outpatient information
6/2010
Identifying Members (PDF) Added Asuris Pledge member card information
6/2010
Medical and Reimbursement Policy Converted to Web-based format
2/2010
Medicare Advantage Plans (PDF) Added 2010 benefit summaries, new member card samples and changed appeal language
1/2010
Medicare Beneficiaries (PDF)  
8/2008
Payment (PDF) Added additional information about Motivate MCA payments
8/2010
Product Overview

Added Asuris Pledge product information

6/2010

Provider Center (formerly known as Asuris Online Services for Providers)

Section removed. Please refer to the Provider Center section of our Web Site

4/2010
Quality Program Converted to Web-based format
2/2010

Retail Prescription Benefits

Converted to Web-based format
5/2010
Self-Managed and Consumer Directed Products (PDF)

Added Innova expanded office services benefit information.

Added information about Activate MCA payments.

8/2010
Who to Contact Information moved to Contact Us and other sections of our Web Site
11/2009

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Professional Manual    
Section
Change
Revision Date
Alternative Care (PDF) Added East Asian Medicine Practitioner to Acupuncturist references 08/2010
Home Medical Equipment & Prosthetics (PDF)   08/2008
Laboratory Services (PDF)   08/2008
Obstetrical Care (PDF)
  08/2008
Practitioner Guidelines (PDF)   08/2008
Radiological Services (PDF)   08/2008
Therapy Guidelines (PDF) Speech therapy guidelines revised 11/2009
Vision (PDF)   08/2008

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Facility Manual    
Section
Change
Revision Date

Ambulance (PDF)

  08/2008
Free Standing Ambulatory Surgical Centers (PDF)   08/2008
Home Health (PDF)   08/2008
Home Infusion (PDF)   08/2008

Hospice (PDF)

  08/2008
Home Medical Equipment and Prosthetic Devices (PDF)   08/2008
Hospital Guidelines (PDF)   08/2008
Skilled Nursing (PDF)   08/2008

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