What's new

Forms are fully restored

Forms are fully restored, and new submissions are processing normally.

We sincerely apologize for this inconvenience and any delays this caused in submitting requests. Thank you for your patience.

8/26/2025

DirectDerm: Virtually connects Medicare Advantage members to dermatology care

DirectDerm offers a seamless, efficient and effective solution for diagnosing and managing skin conditions remotely. It is a teledermatology service that connects patients with board-certified dermatologists through a secure online platform. It allows patients to receive expert dermatological care without the need for an in-person visit. DirectDerm ensures that patients have access to timely and accurate diagnoses, treatment plans and follow-up care.

As a health care provider, DirectDerm can help you and your Asuris Medicare Advantage patients:

  • Whenever you would like a dermatologist’s opinion on a diagnosis or treatment choice for a patient’s skin condition.
  • When a condition or lesion needs to be evaluated sooner rather than later.
  • When the shortage of dermatologists extends wait times in your area to weeks or months and a patient needs a dermatology consult before one would be available.
  • If location or circumstances (such as young children in the home, remote location or weather conditions) make it difficult for a patient to travel to a dermatologist.
  • If you would like to establish a two-way dialogue with dermatology specialists. PCPs often say they would like support with many of their patients’ skin issues. DirectDerm can help with individual cases and provide educational support.

Learn more about:

  • The conditions they treat
  • How to submit a patient referral

8/19/2025

Clinical records timeframe change starts September 1, 2025

Reminder: Beginning September 1, 2025, all clinical records necessary to complete medical necessity reviews must be available by EMR or submitted by fax within 24 hours of acute inpatient hospital medical admissions. This timeframe coincides with our 24-hour inpatient admission notification requirements and applies to admissions for all lines of business.

We will no longer provide clinical records deadlines when we fax acknowledgment of admissions notification.

  • If you use PointClickCare (PCC) and grant electronic medical record (EMR) access, you will not experience a change in process. Ensure records are viewable in your EMR within 24 hours of admission.
  • If you don’t grant EMR access, fax complete clinical records within 24 hours of admission. The face sheet and/or admission diagnosis alone are not sufficient. Contact your provider relations executive to learn more about connecting your EMR.

If a facility does not submit clinical records within 24 hours of admission, the admission may be administratively denied as provider liability.

View our authorization and records requirements on our pre-authorization lists.

8/5/2025

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