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Network Health


ADA Accessibility SurveyADA Accessibility Survey

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Help our members learn more about you, so they can get the right care to meet their unique health care needs. Promote your Americans with Disabilities Act (ADA)-compliant, high-quality care!

Please take this important survey as soon as possible.

Note: All providers contracted with Network Health Unify (Medicare-Medicaid One Care for people ages 21 - 64) are required to complete this survey, however we strongly encourage all providers to participate.


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Doing Business with Network HealthDoing Business With Us and Getting Paid

News and UpdatesNews and Updates

08/04/2014  —  Updates to the Network Health Provider Manual

We recently updated our Network Health Provider Manual. Please read the manual to learn about new, updated, and existing information.

08/01/2014  —  New CMS QIO program vendor

Effective August 1, 2014, the new Quality Improvement Organization (QIO) vendor for the Centers for Medicare & Medicaid Services (CMS) is Livanta.  CMS will no longer contract with Masspro for their QIO program.

07/16/2014  —  National recall of alli weight loss products

On March 27, 2014, GlaxoSmithKline announced a voluntary recall of all alli weight loss products from U.S. and Puerto Rico retailers.

06/02/2014  —  One Care Shared Learning Conference

As a provider for Network Health Unify (Medicare-Medicaid One Care for people ages 21 - 64) it's important that you stay updated on developments in the care of your patients. We encourage you to take advantage of an upcoming One Care Shared Learning Conference.

01/31/2014  —  ICD-10 EDI testing for direct submitters begins in February

Network Health is conducting ICD-10 EDI testing with all direct submitters beginning February 3, 2014.

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Searchable Drug ListSearchable Drug List

Learn more about which drugs are covered by checking our Preferred Drug Lists (PDF). 


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ICD-10 EDI TestingICD-10 EDI Testing


Attention direct claims submitters: The U.S. Department of Health and Human Services (HHS) has mandated that ICD-10 code sets replace ICD-9 code sets in 2015. We are now conducting ICD-10 electronic data interchange (EDI) testing. 


If you haven't done so already, please contact us at EDI@network-health.org to begin this essential testing process.


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