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May 2004    www.onehealthport.com    powered by Betrusted
IN THIS ISSUE

NEWS

RESOURCES

NEWS

Sign-up Now for OneHealthPort's New Online Training Webcasts
OneHealthPort is launching a pilot program of "live" webcasts to help you get the most from OneHealthPort and OneHealthPort's participating sites. It's easy to participate in these free, one-hour online training seminars - all you need is a computer with an Internet browser and a telephone line. OneHealthPort will give you a toll-free number, a website address and a password to enter the webcast. This is a "live" event, so you can even ask questions of the presenters. Sign up now at www.onehealthport.com/about/regform.html.

The first webcasts are: "How to Navigate Online Eligibility Applications" and "Training Tips for OneHealthPort Administrators." And everyone who completes one of the inaugural webcasts will receive a Starbucks coupon!

  • "How to Navigate Online Eligibility Applications"
    May 12 @ noon and May 26 @ noon

    In this unique overview of the eligibility applications available through OneHealthPort, staff from Regence BlueShield, GroupHealth Cooperative, Premera Blue Cross and First Choice Health will explain how to easily navigate their site's online eligibility applications (information about LifeWise health of Arizona will be included in future webcasts). Join us for this webcast to streamline your eligibility searches, learn navigation tips, and improve workflow.

  • "Training Tips for OneHealthPort Administrators"
    May 6 @ noon and May 25 @ noon

    This webcast is designed to give OneHealthPort administrators information on how best to manage their organization's account. It will focus on how to nominate and manage users, add tax IDs, change user passwords and use new features.

Space at each webcast is limited. Register today at www.onehealthport.com/about/regform.html. If you are unable to attend the inaugural webcasts, you can ask to receive announcements about future webcasts.

LifeWise Health Plan of Arizona Now Live
LifeWise Health Plan of Arizona successfully launched the secure section of its web site for physicians and providers on April 1. Using OneHealthPort, you can easily access information on members enrolled in LifeWise Health Plan of Arizona plans, including:

  • Eligibility - plan effective dates and basic demographic information
  • Benefits - deductible and benefit limit accumulators
  • Claims - claims status inquiry
  • Reference materials - provider manual and newsletters

For more information, go to www.lifewiseaz.com or contact LifeWise of Arizona at the following toll-free numbers:

LifeWise Web Support 1-800-722-7980
LifeWise Customer Service 1-800-592-6834
LifeWise Physician and Provider Relations 1-800-592-6795

Uniform Medical Plan Coming Online Soon
The Uniform Medical Plan – a state-funded, employer-sponsored health care plan administered by the Washington Health Care Authority – will soon offer a secure web portal, available through OneHealthPort, for its participating providers.

Set to go live early this summer, the site will offer providers information about members enrolled in the Uniform Medical Plan (UMP) as well as the plan's pilot product, UMP Neighborhood. Available through OneHealthPort, the site and will offer information and applications, including:

  • Eligibility -- Plan effective dates and basic demographic information of UMP PPO and UMP Neighborhood enrollees
  • Benefits -- Basic benefit information of UMP PPO and UMP Neighborhood enrollees
  • Claims -- UMP PPO and UMP Neighborhood claim status inquiry
  • Provider Directory -- Searchable list of contracted providers
  • Reference Materials -- Billing and Administrative Manual for Professional Providers, provider newsletters
  • Neighborhood Pass -- Referral form for UMP Neighborhood care systems
  • Formulary Search -- Formulary search, generic and brand-name drugs, co-pay tier information, list of alternative drugs
  • Secure E-mail -- Send secure e-mail directly to UMP
  • Electronic Funds Transfer -- Coming late 2004!

For more information, go to www.ump.hca.wa.gov/provider/ or call UMP Provider Services at 1-800-292-8092. Remember – you will need a free OneHealthPort credential to access this new service.

RESOURCES

Group Health Offers Online Patient Health Education Resources
Two online patient health education resources--the Healthwise® Knowledgebase and the Patient Health Education Brochure Library are now available to contracted providers at MyGroupHealth for Contracted Providers.

Containing information on thousands of health care topics, the Healthwise® Knowledgebase is a searchable information base and Group Health's primary resource for patient health education.

The new Patient Health Education Brochure Library contains printable brochures designed to help patients make informed health care decisions. The brochures were developed by clinical experts and are supported by current clinical practices. Providers can also order such health tools as medication and blood pressure record cards, which are not suitable for electronic reproduction. These resources are free to contracted providers at www.ghc.org.

With information now online, Group Health no longer produces a Pamphlet Library Catalog or has a central distribution center for brochures.

Registration Still Open for Administrative Simplification Workshops
Take advantage of the Washington Healthcare Forum's continuing education workshops now being offered throughout Washington. The workshops are designed to help staff at medical groups, hospitals, and health plans implement Phase III of the Administrative Simplification process.

Go to www.wahealthcareforum.org for details and to register for an Administration Simplification Workshop in Mount Vernon (May 11); Renton (May 13); Kirkland (May 20); Seattle (May 27) and Olympia (June 2). Please note: the registration deadline is one week prior to each workshop.

Workshops will include:

  • Forum policies and procedures
  • Web tools for simplification
  • "Accelerator" for administrative processes

Washington Healthcare Forum Offers User-Defined Reports
The Washington Healthcare Forum has developed six web-based, user-defined reports, which offer real-time information to providers and clarify health plan processes for claims, referrals and prospective review. Developed to support Administrative Simplification, the reports can reduce staff time spent searching for answers to common questions about multiple health plans.

Dynamic Reports for Claims Processing

  • The Modifier Grid provides clarification about how ten participating health plans handle the most commonly used modifiers. www.wahealthcareforum.org
  • The Split Claims Report defines the eight categories in which claims may ‘split' and clarifies how nine participating health plans handle claims that fall into each of the categories.www.wahealthcareforum.org
  • The Injury Claims Report clarifies when accident information must be provided on a claim for nine participating health plans. www.wahealthcareforum.org

Dynamic Reports for Referrals and Prospective Review

  • The Referral Report for Managed Care clarifies the policies of six participating health plans regarding their referral requirements. www.wahealthcareforum.org
  • The Prospective Review Report for all products clarifies the policies of six participating health plans regarding their prospective review requirements. www.wahealthcareforum.org
  • The Inpatient Stay Review Report for indemnity products: This user-defined report clarifies the notification and concurrent review requirements for 6 participating health plans. www.wahealthcareforum.org

For more information or to read the policies and guidelines which support these tools, please visit the Forum website at www.wahealthcareforum.org.

To unsubscribe from this newsletter, send an email to newsletter@onehealthport.com with "UNSUBSCRIBE" and your first and last name in the subject. Questions? Comments? Visit our website at www.onehealthport.com, or email us at newsletter@onehealthport.com.

OneHealthPort Disclaimer

Copyright (C) 2004 OneHealthPort. All Rights Reserved.

This newsletter produced by Aukema & Associates.

 




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