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Network News

Get the latest news for Providers from the Office of Management and Enterprise Services Employees Group Insurance Division in the Network News.

Network News Winter Edition 2018

In the Winter Edition of the Network News

  • EFT/ERA Important Changes
  • Direct Data Entry of Claims
  • HealthChoice Certification for Outpatient Surgical Procedures
  • Retrospective Certifications and Appeals for 2017 Dates of Service
  • HealthChoice Dental – Orthodontic Benefit
  • Claims that Span the 2017 and 2018 Plan Years
  • Urgent Care Copay
  • New Medical and Dental Claim Administrator
  • MS-DRG and MS-DRG LTCH Version 35 Fee Schedule Updates
  • Improved Customer Service Call Center
  • W-9 Forms
  • Advanced Communication Engine Announcement
  • Inpatient Discharge Status Codes
  • HealthChoice Connect
  • New TPA Offers Improved Overpayment Recovery Process
  • Fee Schedule Updates
  • Timely Filing for Medical and Dental Claims
  • New Certification Website
  • New Patient Versus Established Patient Guidelines


Fall Edition 2017
Summer Edition 2017
Spring Edition 2017