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News You Can Use


Provider Alert

Recent Provider Alerts include:
  • Billing error identified for hemoglobin values on electronic ESA claims
  • Process Change for Herceptin Claims
  • Medica Expands Coverage for Oncotype DX Treatment
  • Claims Denied Inappropriately for ESA Drugs
  • Medica to Update its Drug Formulary for MCHP Members
  • PT/OT Claims Incorrectly Denied

View all recent Provider Alerts   |   Provider Alert Archive

If you would like to be notified via e-mail when a new Provider Alert is posted, please complete the Medica.com e-mail updates form.


Medica Connections

View the current and past issues of Medica Connections, a monthly publication for Medica and SelectCareSM network providers.

In the December 2008 issue:

  • Early DIAMOND Results Exceed Expectations by Integrating Behavioral Healthcare Into Primary Care Setting
  • 2009 Patient Choice Insights Tiers to Take Effect
  • Medica to Move Metro MHCP Seniors to ‘Senior Care Plus’ Program
  • Effective October 15, 2008: Medica Makes New Benefit Determination
  • Effective January 1, 2009: Medica Makes New Benefit Determination
  • Medical Policies and Clinical Guidelines Updated
  • Providers Encouraged to Request Prior Authorization Before Rendering Related Services
  • Medica to Update Standard Commercial Drug Formulary
  • Medica to Update its Drug Formulary for MCHP Members
  • Clarification on Self-Administered Drug Benefit Change
  • Changes to Medica’s Part D Formulary
  • Medica to Implement HIV Drug Quantity Prescribing Limit
  • Medica to Update Physician Fee Schedule for Medicare Products
  • Medica to Implement Electronic Eligibility Inquiry Improvements
  • Medica Accepts POA Indicator on Acute Care IPPS Hospital Claims
  • Medica to Make Coverage Change for Saebo Orthotic Devices
  • Update on Changes to SelectCare and LaborCare Provider Administrative Manual
  • Latest UHC Provider Bulletin Available Online

View the December 2008 Issue of Connections   |   Connections Archive

If you would like to receive Medica Connections via e-mail, please complete the Medica.com e-mail updates form.