Commercial and Government Carriers

Commercial Payors

Aetna

     Medical Clinical Policy Bulletins, Precertification information including requirements and online precertification tools for enrolled providers.

Blue Cross of Arkansas

Blue Cross of Florida

Blue Cross of Mississippi

     MyAccessBlue - Provider portal for Blue Cross of Mississippi.

Blue Cross of Missouri

Blue Cross of North Carolina

Blue Cross of Tennessee

     BlueAccess - Verify patient coverage, submit and check requests for prior authorizations.

Cigna

     Portal for Healthcare Professionals allows online patient verification, precertifications and more.

Humana

     Preauthorization information.

Mailhandlers

     Preauthorization inquiries are available through the Coventry portal.

NALC

United Healthcare

     Coverage Policy Library

     Patient eligibility and benefits.

Recent Blog Posts
Jun 14, 2018

On June 14 the Centers for Medicare & Medicaid Services (CMS) updated its Quality Payment ...

May 10, 2018

Sometimes CMS headlines surprise me.  Take for example this one from May 17:

Apr 18, 2018

It happens to most providers.  They provide services that do not meet the exact definition of ...

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