This publication contains important information, including updates to policies and procedures, for physicians, dentists, other health care professionals, facilities and their staff.
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Beginning March 1, we will require providers to access the Provider Center to locate information regarding eligibility, benefits and simple claims status.
Medical multi-year accumulators now available
The Provider Center now displays medical multi-year accumulators that are applicable to each member’s product.
Changes to our medical policies are listed below. Learn how policies are reviewed. Our Coding Toolkit includes codes that require clinical information (updated monthly), a complete list of code groupings and our Correct Code Editor (updated quarterly).
Learn how obsolete medication codes are reviewed on a quarterly basis.
Summaries of past changes and detailed policies are available in our Medication Policy Manual at http://blue.regence.com/policy/medication/
View our group and Individual products Preferred Medication List/Formulary.