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UHC of OH changes, Amerigroup of VA, & Site Updates

Alot has been happening in the payerverse lately. Here are a few things that have come across my desk lately.

  • UHC is converting the plan formerly know as Unison/UHC of Ohio to use payer ID 87726. This was supposed to have happened on 4/1 but it’s been rescheduled. I’m still waiting on a firm date from UHC. I’ll pass it along when they respond.

 

  • New Hampshire Medicaid changed fiscal agents on 4/1 and there are new enrollment requirements through Xerox. If you’re using an eligibility vendor for New Hampshire eligbility, you may not be able to run transactions for a few more days.

 

  • Amerigroup of Virginia was bought by Inova last year. They started operating as a stand alone health plan on 3/1. Make sure your payer IDs and contact info is up to date.  Please see the notice they sent out below. https://providers.amerigroup.com/Public%20Documents/VAVA_Claimssubmissionchange.pdf

 

  • Medi-Cal officially stopped accepting legacy provider IDs yesterday. You must have a valid NPI and Pin combination on file to run any EDI transactions.

 

Site Updates

I just revamped the Medicare contractors list to show the contractors by state. I’m also going to add a list by the contractor name.

I added the most recent Medicare Advantage plan lists to the Tool page.

Apr 3, 2013Payer Goddess
UHC TriWest Recredentialing and Medicare DDE ShutdownAetna Buys Coventry and UHC of Ohio/Unison Conversion
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