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Latest News

CareAdvance Provider® Tool Expanding to Medicare Advantage Business on May 18, 2020

Audience: All Providers and Facilities

Our new electronic preauthorization tool, CareAdvance Provider, will be used to request authorizations for our members with Medicare Advantage coverage as of May 18, 2020. Important note: The Clear CoverageTM tool will no longer be active for Medicare Advantage...

May Behavioral Health Training Webinars

Audience: Behavioral Health and Primary Care Providers

Univera Healthcare will host the following education and training sessions in May. All providers are welcome. Access registration information from the Staff Training area at Provider.UniveraHealthcare.com. Please direct questions to Nafisah.Clay@UniveraHealthcare.com.

Reminder: Requesting Additional Visits in CareAdvance Provider®

Audience: All Providers

We remind you of the process for requesting additional visits for our members due to our recent transition of Commercial business to the new CareAdvance Provider authorization tool. If you have an authorization that was entered originally using our Clear CoverageTM tool...

COVID-19 FAQs for Durable Medical Equipment Providers

Audience: Durable Medical Equipment Providers

The following information is meant to assist you in providing durable medical equipment (DME) and related services to our members during the COVID-19 State of Emergency. We hope that this information helps to address questions unique to your business. Q. Will you provide...

COVID-19 Telehealth Information Related to Psychological Testing

Audience: Psychologists, Licensed Clinical Social Workers, Licensed Mental Health Counselors and Licensed Marriage and Family Therapists

The following information is meant to assist you in providing care and ease of access to our members during the COVID-19 State of Emergency. We hope that this information helps to address telehealth questions unique to your practice, particularly regarding psychological...

Telehealth Information for Evaluation and Management Visits During the COVID-19 State of Emergency

Audience: Physicians, Nurse Practitioners and Physician Assistants

To assist our participating providers in delivering care to our members during the COVID-19 State of Emergency, we will provide reimbursement for evaluation and management (E/M) visit codes when they are provided via telehealth through audio (telephone) only.  This...

Telehealth Information for Therapy Providers During the COVID-19 State of Emergency

Audience: Physical, Occupational and Speech Therapists

To assist our participating providers in delivering care to our members during the COVID-19 State of Emergency, we will provide reimbursement for some therapy codes when they are provided via telehealth and will also provide reimbursement for telephone services and online...

COVID-19 Administrative Contingencies, Assistance for Providers – Additional Lines of Business Added

Audience: Providers and Facilities

In our communication to you dated March 25, 2020, we shared the actions we are taking to reduce your administrative burden so that you can spend more time providing care to our members.  At that time, we said that the Medicare Advantage line of business and...

April Medical Policy Update

Audience: All Providers

In our constant effort to provide you with information in the fastest, most efficient way possible, Univera Healthcare medical policies are now available for your reference. Please find attached your regular monthly update containing the following: A summary of new...

CareAdvance Provider®Tool Expanding to Commercial Business on April 20

Audience: All providers, facilities

Our new electronic preauthorization tool, CareAdvance Provider, will be used to request authorizations for our members with commercial coverage as of April 20, 2020. This includes: traditional indemnity, HMO, PPO, EPO and point-of-service products.  Important note:...

COVID-19 Claims Processing and Testing

Audience: All Providers

Univera Healthcare has changed its telehealth reimbursement policy to support our practitioners who have stepped up to provide services via telehealth during the COVID-19 pandemic. These changes became effective on March 13, 2020; however, due to the time frame necessary...

Discontinuation of Paper Notification of Claim Billing Errors Effective April 4

Audience: Professional providers

Effective April 4, 2020, Univera Healthcare will discontinue its practice of sending a paper notification when certain billing errors occur. This change is part of our overall effort to reduce the amount of paper sent to provider practices.  We first...

COVID-19 Administrative Contingencies, Other Assistance for Providers

Audience: Providers and Facilities

We are grateful for the service that our participating providers and facilities are providing to our members and communities during the COVID-19 State of Emergency. Our goal is to reduce the administrative burden on providers and facilities so that more time can be spent...

New Prior Authorization for Select Oncology Medications Starting June 1

Audience: Oncologists, Hematologists, Neurologists and Rheumatologists

Over the past few months multiple new biosimilar oncology medications have entered the market. In an effort to reduce costs while maintaining high safety, efficacy and quality standards we are deploying new prior authorization requirements on select oncology medications...

Ongoing Updates Regarding COVID-19

Audience: All Providers

Univera Healthcare is working diligently to keep you informed of the latest developments regarding Novel Coronavirus (COVID-19) and important information you will need as you deliver care to our members. The fastest and most efficient means for disseminating this...

Showing 61– 75 of 116 Results