The Connection OnlineSM
December 2010
Welcome to The Connection Online
This publication contains important information, including updates to policies and procedures, for physicians, dentists, other health care and dental professionals, facilities and their staff.
Editions are published in February, April, June, August, October and December.
If you haven't already, please subscribe to receive email notifications when new editions are available.
Read other important updates in our What's New section.
One hundred more reasons to use the
Provider Center
The Provider Center is a free, secure Web-based tool that allows you to access valuable member information.
We are in the process of adding nearly 100 benefit accumulators to make this tool even more useful for you and your office staff.
News
- Enhanced Provider Profile
- New Provider Web Site coming
- National Consumer Cost Tool initiative
- Changes to medical preventive services
Medicare
Administrative and Billing
Products and Programs
Resources
Policies
Changes to our medical policies are listed below. Learn how policies are reviewed. Our Coding Toolkit includes codes that require clinical information (updated monthly), a complete list of code groupings and our Correct Code Editor (updated quarterly).
- 2011 brings code changes to many services and supplies
- Help shape our medical and medication policies
Medical
Reimbursement
- Appropriate use of bypass modifiers
- Heparin lock flush policy change
- Obsolete medications considered invalid
Dental
View our Dental Policy Manual.
Medication
Summaries of recent changes (PDF) and detailed policies are available in our Medication Policy Manual.
View our group and Individual products Preferred Medication List/Formulary.
Search the Regence MedAdvantage + Rx and Medicare Part D formulary.