Archive for December, 2017

Humana Military – Tricare:

Humana Military – Tricare:

Humana Military has purchased the Health Net Provider Network and is in the process of transitioning the Tricare contract from Health Net to Humana, effective January 1, 2018. Wisconsin Physicians Service (WPS) is the new TRICARE East Region claims processor.

All providers submitting Electronic Data Interchange (EDI) claims directly to WPS, must complete a self-registration process that includes an initial registration and the necessary request forms and business agreement(s).

The self-registration link and more information can be found here: https://www.humanamilitary.com/provider-east/emc

EDI Helpdesk Team              1-800-782-2680 (option 1)

EDI Marketing Team             1-800-782-2680 (option 2)

FAX                                       1-608-223-3824

eMAIL                                    edi@wpsic.com         

Provider Self-Service portal:

By registering you can:

  • Check patient profile including – verify eligibility, patient claims, coverage, & referral status
  • Create new referral authorization requests
  • Check status or update approved referral authorization requests
  • CPT and DX code look up
  • Claims status by patient
  • Provider location addresses, specialties by location, types of service by location, and more

Register for Provider self-service portal:

https://infocenter.humana-military.com/South/HGBProvider/ProviderPortal/Account/LogIn/

 

Medical Society of the State of New York – MSSNY

Medical Society of the State of New York – MSSNY

The Medical Society of the State of New York (MSSNY) is an organization of approximately  30,000 licensed physicians, medical residents, and medical students in New York State.  Members participate in both the state society and in their local county medical societies.

MSSNY is a non-profit organization committed to representing the medical profession as a whole and advocating health related rights, responsibilities and issues. MSSNY strives to promote and maintain high standards in medical education and in the practice of medicine in an effort to ensure that quality medical care is available to the public.

For more information and to join MSSNY click here: http://www.mssny.org

 

 

Welcome New JPO Members:

Welcome New JPO Members:

Ashley K. Rodgers, OD – Watertown Eye Center – Optometry

Ariana Brooks-James, MD – Samaritan Medical Center – Physical Medicine & Rehab

Sara J. McGee, MD – Samaritan Medical Center – Oncology Hematology

Scott W. Mollison, MD – Samaritan Medical Practice, PC – Orthopedic Surgery

Deana E. Pauley, DO – Samaritan Medical Practice, PC – Plastic Surgery

Brougan M. Shoeneman, MD – Samaritan Family Health Center – Family Medicine

Su Yien Zhaz Leon, MD – Samaritan Family Health Center – Rheumatology