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ProgenyHealth Neonatal Intensive Care Program Update and Reminders
We would like you to be aware that our Neonatal Intensive Care Program in partnership with ProgenyHealth, Inc., an independent company, will soon be available to an additional number of our members, some of whom may be your patients. As always, be sure to check member...
Read ArticleMedicaid Managed Care Claims Testing Opportunity for Children's Behavioral Health Services
We are conducting validation testing to help ensure successful submission of behavioral health claims in preparation for the Medicaid managed care children’s home and community-based services implementation on October 1, 2019. Our goal is to validate that business...
Read ArticleBehavioral Health Services for Children Covered by Medicaid Managed Care Effective July 1
We would like to provide you with information related to the second phase of the New York State Children’s Health and Behavioral Health Medicaid System Transformation, which will occur July 1, 2019. Univera Healthcare (“Health Plan”) will implement several additional...
Read ArticleDental Records Request Reminder
We would like to remind you to return dental records with the Medical Records Unit (MRU) request letter that we sent to you to avoid starting another claim in the system. It is also important that you do not attach the claim form when fulfilling the request for...
Read ArticleCustomer Care Phone Line Update
If you have recently experienced longer than normal wait times when contacting Customer Care, we thank you for your patience, and for sharing your candid feedback with us. There is a plan in place to improve efficiencies and reduce call backlogs, including the hiring...
Read ArticleDental Erisco Countdown Notice
IMPORTANT: Submit all Claims Prior to March 1, 2019 Date of Service We want to remind you that May 10, 2019 is the last day that claims will be processed on our legacy system. After May 10, 2019, claims will be utilizing an off-system process, which will cause...
Read ArticleComing Soon! Medical Record Request
In the next few weeks, your office or facility may receive a medical record retrieval requirement packet from Change Healthcare, an independent company, which retrieves medical records on our Health Plan’s behalf. This medical record retrieval request is for January...
Read ArticleSafety Net Product Name Change for eMedNY/ePaces
We would like you to be aware of a recent change that you will see when viewing member information on eMedNY/ePaces, the New York state Medicaid eligibility verification system. The Medicaid managed care plan name listed in the Eligibility Response Details section has...
Read ArticleMedicaid Managed Care: NYS Vaccines for Children Program Pharmacy Billing Instructions
The New York State Vaccines for Children (NYS VFC) Program is a federally-funded program that provides vaccines to eligible children at no cost. Which vaccines are covered under the NYS VFC program when billed by a pharmacy? Univera Healthcare vaccines include: ...
Read ArticleElectronic Claim Adjustment Request Changes
We would like to make you aware of upcoming changes to claim adjustment requests submitted electronically. Effective April 26, 2019 , Univera Healthcare will no longer accept electronic adjustment requests for claims that have not finalized or where specific...
Read ArticleOrthoNet™ Peer-to-Peer Process Reminder
As you know, Univera Healthcare has contracted with OrthoNet, an independent company that provides specialty benefit management and other services, to help ensure billing accuracy in claims submissions. We remind you that prior to submitting a clinical editing...
Read ArticleMedical Utilization Management Program Updates Effective July 1, 2019
We would like to share an overview with you regarding our standard medical Utilization Management (UM) Program updates effective for requests beginning July 1, 2019 . These updates will be posted to our website, UniveraHealthcare.com, June 3, 2019 . The UM Program...
Read ArticleValsartan Recall by Aurobindo Pharmaceuticals
Drug manufacturer Aurobindo Pharma USA, Inc. is the latest manufacturer to conduct a voluntarily recall expansion of an angiotensin II receptor blocker (ARB) to the consumer level. This affects 38 lot numbers and 9 NDC numbers of their valsartan-containing tablets. This...
Read ArticleLosartan Recall by Torrent Pharmaceuticals
Drug manufacturer Torrent Pharmaceuticals is the latest manufacturer to voluntarily recall an angiotensin II receptor blocker (ARB) to the consumer level. This currently affects 60 lots of Losartan potassium tablets USP and 54 lots of Losartan potassium/...
Read ArticleLosartan Recall by Camber Pharmaceuticals
Drug manufacturer Camber Pharmaceuticals is the latest manufacturer to voluntarily recall an angiotensin II receptor blocker (ARB) to the consumer level. This currently affects 87 lot numbers and 9 NDC numbers of all strengths of losartan tablets by this manufacturer. ...
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