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Noticias para los proveedores | Ambetter Insured by Celtic

 

Noticias para los proveedores

November

Introducing Availity Editing Services for Ambetter

11/20/24

Starting January 24, 2025, Centene is partnering with Availity to return rejection messages on its behalf via AES messages.

Newborn Inpatient Stays

11/20/24

Thank you for your continued partnership with Ambetter of Illinois. As you know, we are committed to continuously evaluating and improving overall Payment Integrity solutions as required by State and Federal governing entities.

October

AMBETTER OF ILLINOIS AMPLÍA LA RED DE PROVEEDORES PARA INCLUIR A ADVOCATE HEALTH CARE

10/30/24

The addition of Advocate Health Care to the Ambetter of Illinois provider network offers its members expanded access to the health system’s high-quality healthcare

Ambetter Health Solutions to Begin January 1, 2025

10/21/24

Ambetter Health Solutions is a new offering from Ambetter Health that will be available to individuals who receive a defined contribution from their employer to purchase individual health insurance, such as through Individual Coverage Health Reimbursement Arrangements (ICHRAs).

Ambetter of Illinois Expands Health Insurance Offering to 25 Counties Statewide

10/03/24

Residents will have a variety of affordable plans from Ambetter of Illinois during open enrollment beginning Nov. 1

July

ILLINOIS REPRODUCTIVE HEALTH BILLING REQUIREMENTS UPDATE

07/19/24

Beginning February 1, 2024, the billing requirements are changing for Reproductive Health Services in the State of Illinois.

April

Update for Buy and bill medications effective April 8, 2024.

04/17/24

Ambetter of Illinois has an updated fax number for buy and bill medications.

March

Resolving Payment Discrepancies on Claims

03/28/24

In Q3 2023, we found that Meridian Medicaid Plan (Meridian) and Ambetter of Illinois (Ambetter) enrolled members were not identified in our third-party liability (TPL) claims process, which triggers the Coordination of Benefits (COB).

February

Change Healthcare Cybersecurity Incident and Its Impact to Ambetter

02/28/24

On February 21, Change Healthcare, a software and data analytics subsidiary of UnitedHealth Group’s Optum unit, experienced a cybersecurity incident that has impacted its network and operations.

Enforcement of National Coverage Determination (NCD) Guidelines Policy

02/07/24

We are informing our provider partners of a new policy Ambetter will implement effective on or after February 15, 2024.
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