Populytics integrates health plan management, advanced analytics, and clinical care deliveryfacilitating the movement to value-based care. Northwestern Medical Center does its best to accommodate everyone. Enter Account #, NPI or Tax ID: Enter Email Address: Enter Username: Enter Email Address: Claims processed by Populytics 484-862-3505 Prescription Drugs - Refer to the Benefit Information Guide Wellness Benefit - Participate in wellness activities to earn points for a $125 gift card. It is contracted to manage a network of dental providers for Highmark and Highmark Health Insurance Company. BeneFIT delivers corporate wellness solutions to employers nation-wide, regardless of size, industry, demographics or insurance carrier (s). The ordering provider is typically responsible for obtaining authorizations for the procedures/services included on the List of Procedures/DME Requiring Authorization. United offers different out-of-network benefit options to meet the unique needs of its employer customers and members. 340 Paxinosa Rd W. Easton, PA 18040-1322. Tel: (202) 737-5476. Drugs are listed by brand and generic names. Call 888-402-LVHN (5846). Request a Cost Estimate. Leave a Reply Cancel reply. So no matter when you want to check your personal benefits, MyPopulytics.com will be ready. Health Education Specialist Certification - CHES, MCHES | NCHEC. Most dosage forms and strengths of a drug are included in the formulary. If an ERA/835 file has not been received after 4 business days of receipt of the corresponding EFT payment, you can research it by contacting EDI Operations at 1-800-992-0246. This Accreditation is a wonderful recognition of the quality improvement at the core of that work. Easton, PA 18042-7727. Close X. Access myPennMedicine 800-789-7366. Read Full Summary. We appreciate your patience during this time. Browse our extensive directory of the best Trauma and PTSD Therapists, Trauma and PTSD Psychologists and Trauma and PTSD Counselors near you. Presbyterian Health Plan Directory. It will feature presentations by national and local healthcare experts as well as an exhibit area, breakfast and lunch. Phone Number 866.733.6158. Insurances We Accept. PROVIDER ACTION NEEDED . Providers - Populytics Health Management Solutions. Tyler Pace | Allentown, Pennsylvania, United States | Marketing & Communications Coordinator at Populytics | 408 connections | See Tyler's complete profile on Linkedin and connect BS PA. Populytics. We are not liable for errors in data or transmission or for lost data. Email; First Name; Last Name Founded in 2013, Populytics integrates advanced analytics, health plan management, and clinical care delivery. Lehigh Valley Business and sponsors will come together to celebrate 40 of the Greater Lehigh Valleys most accomplished young businessmen and women who have been making headlines in their field and who share a commitment to business growth, professional excellence and to the community. PNS Contact Tool. 570-455-1509. Make sure your billing staffs are aware of these updates. Learn more at mth.lvh.com. This allows health care providers to better coordinate care and mitigate health care spending. Multiple procedure payment reduction. CR 11501 updates the list of codes that sometimes or always describe therapy services. The company mission is to be the premier solution provider within healthcare by combining great people, great customers and innovative ideas to solve the most complex problems that our customers face. Toggle navigation. Specialized Digital Tools for Healthcare Providers. Review the Highmark Medicare-Approved Formulary. College Hill Counseling Services. Her byline has appeared in the New York Times, the Washington Post, the Wall Street Journal and Slate, and she's a regular contributor to Dell Perspectives when she's not managing editorial projects for Fortune 500 firms. Headquarters: 707 Hamilton Street Sixth Floor, Allentown, Pennsylvania, 18101, United States. Name. Providers should direct all inquiries regarding eligibility, plan coverage, and prior authorization to Populytics. COVID-19 Announcement Statement of Equity and Injustice. Allentown, PA (PRWEB) September 07, 2017 Populytics, Inc., a Lehigh Valley population health management and data analytics firm and wholly owned subsidiary of Lehigh Valley Health Network (LVHN), has been accredited in Wellness and Health Promotion by the National Committee for Quality Assurance (NCQA). Jul 06, 2021 Delta Dental Insurance Company Applauds New Electronic Communication Delivery Legislation for Health Benefit Plans in Texas Delta Dental Insurance Company, an affiliate of Delta Dental of California, today announced its support for recently enacted legislation in Texas (S.B. Select a network Delta Dental PPO Delta Dental Premier DeltaCare USA DeltaCare USA Individual (CA only) DeltaCare USA Medicare (CA only) DeltaCare USA Connect (CA only) All Populytics is a leading provider of services to health plans and health plan members aimed at making good health an affordable priority. Representatives from the Korea Health Promotion Institute in Seoul, South Korea, spent the third week of August 2018 on the East Coast in search of guidance regarding the certification of Health Education Specialists. Also tell your healthcare provider about all of your medical conditions, especially if you have asthma, a history of depression, thyroid problems, Parkinsons disease, diabetes, heart problems or high blood pressure, have any other medical conditions, are pregnant or plan to become pregnant, or are breastfeeding or plan to breastfeed. Phone: (888) 895-3376 Text: (610) 426-0376 Fax: (877) 437-7288 Mailing Address: 258 Ben Franklin Hwy E Amity Township, PA 19508 Founded Date 2013. Welcome to the Provider Search System. Populytics' BeneFIT wellness and health coaching programs are available to all employers, regardless of the company's health insurance provider or plan. 2124) that enables medical, dental and vision health benefit plans operating within the state to July 16, 2021. The University of Vermont Medical Center. 1-800-664-7855. soon offered another 9 million records pilfered from health insurance companies and provider networks across the country. (Its separate from this blog.) Visit a dentist in your network to get the most savings. Once the outage is completed you will no longer receive this notification. Do not see your insurance listed or have additional insurance questions? Questions About Your Bill. Billing and Insurance. Follow Us! Delta Dental (Excludes Employer Plan: State of Minnesota. Phone: (484) 223-0770. Pre-Visit Financial Counseling Hotline. Populytics Based in Allentown, Pennsylvania, Populytics is a health consulting company which provides wellness solutions based on their analytics capabilities and advanced informatics. Be Aware of Limitations. (908) 619-1155. Local Company Name Address City State Zip Phone; Verus Healthcare: 561 Highway 78, Ste 102: Sumiton: AL: 35148-3431: 800-487-5566 Payer returns ERAs automatically once electronic claim submission begins. Continually assess benefits and risks associated with opioid therapy throughout the entire patient journey. To determine if a test requires precertification, please see the complete procedure code list for details. Products that are approved for more than one therapeutic indication may be included in more than one category. Medicare applies a multiple procedure payment reduction (MPPR) to the practice expense (PE) payment of select therapy services. VALLEY PREFERRED ADDS TWO MEMBERS TO ITS BOARD OF TRUSTEES AS PHYSICIAN HOSPITAL ORGANIZATION EXPANDS . Medicare. Any questions, complaints, or claims regarding the products or data must be directed to the appropriate provider Practice. The following documents provide guidelines for conducting EDI transactions with Independence. Due to the volume of tests, it is not possible to list each test separately. Some health care benefit plans administered or insured by affiliates of UnitedHealth Group Incorporated (collectively United) provide out-of-network benefits for Uniteds members. Our Lehigh Valley mental health professionals may guide you toward the adjustments that are right for you. Email. The result of carefully listening to our clients for over 35 years, TCS products are designed to optimize clinical outcomes, maintain managed care compliance, and improve financial and operational excellence. Complete the Provider Email Sign-Up Form to receive email updates with the latest information, including Partners in Health Update SM. Burlington, Vermont Area. Visit an ExpressCARE. Population Health Alliance. HIGHMARK BLUE SHIELD. Metallic plan members (Gold, Silver, Bronze and Catastrophic) 800-800-4298 (TDD 501-502-1458) . HIGHMARK HEALTH CARE ACCOUNT Other ID's: 54771, 12B61, 12B60, 12B81. Companion Guides. Bring your colleagues and join us for an educational and networking event you won't want to miss! Schedule a COVID vaccine appointment: call us 8am to 5pm, Monday through Friday, at 267-758-4902. appropriate . We also accept: Populytics, Choice Plus, Principal Life, Cigna, Blue Cross Dental, discount plans, and most PPO plans! Populytics provides information about health plan utilization and the health of employee populations. If so, your Highmark member site is the place to go. Attention providers: Please note that AHCA requires all providers servicing Managed Medical Assistance (MMA) members to have a Medicaid billing or registration number to receive claims reimbursement. Call us. In addition, the myPopulytics Provider Portal can help you provide better service to patients who have medical and dental insurance plans that are administered by Populytics. Best-in-Class Managed Care TCS Healthcare is the leading provider of software designed to support health plans, TPAs, ACOs, and other risk-bearing organizations. Company Description. Please review our list of accepted insurances and call us with any further questions. You may continue to browse the portal in read-only mode. For NON-URGENT requests, please fax this completed document along with medical records, imaging, tests, etc. Looking for convenient care? Send a message to your health care provider It's a convenient and secure way to ask your non-emergency medical questions. So far, a majority of the patients targeted 62 percent -- appear to embrace the effort. Access your test results No more waiting for a phone call or letter view your results and your provider's comments within days; Request prescription refills Send a refill request for any of your refillable medications Review the Highmark non-Medicare Formulary. 80 M St SE, Suite 100 Washington, DC 20003. Contact Us Online. Procedure. Valley Preferred, a provider-directed, preferred provider organization aligned with LVHN, is dedicated to innovative programs to improve health care delivery and value in the community. The additions, changes, and deletions to the therapy code list reflect those made in the Calendar Year (CY) 2020 Current Procedural Terminology (CPT) and Level II HCPCS. Contact Us Online.