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UHC TriWest Recredentialing and Medicare DDE Shutdown

There’s a few things brewing in the payer universe over the next couple of weeks.

Tricare West will be transitioning from WPS to UHC on 4/1/2013. All providers must recredential with UHC before 4/1 in order to continue getting paid for TriWest members. If you haven’t received your welcome packet or have questions about getting credentialed, you can call 877-988-9378.

CMS will start shutting down the Common Working File queries on 4/1. The CWF eligibility queries (aka DDE) aren’t HIPAA compliant so they’re transitioning everyone to HETS. ELGB is scheduled to be turned off on 4/1 so if you’re still using that, you should be making plans to move to an alternate connection.

Mar 13, 2013Payer Goddess
Site Updates, Hurricane Sandy, New Medicare Advantage ListsUHC of OH changes, Amerigroup of VA, & Site Updates
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