There probably has never been a time in the history of DME and O&P like today’s challenging environment. Delayed or not delayed, the Competitive Bidding process will have a major impact on the DME space and how the industry will evolve in the next several years. As your network manager we feel it is our job to constantly think and work on ways to add value to your membership, now more than ever. The Integra team has worked hard in the last 6 months on several projects, all with the goal to create efficiencies and additional business opportunities for our members.
We are excited to tell you about our progress in this newsletter. You will learn about our a new payer contract as well as expanded relationships with existing payers, an improved document upload feature, changes to the training process and lots more.
We will continue to work hard on making your membership a valuable one and encourage you to reach out to us with your feedback, ideas, suggestions and questions.
We wish you a warm, happy and safe summer and look forward to talking to you soon!
Contributed by Bianca Flikweert
HHH Choice Health Plan, LLC Selects Integra Partners As Its Preferred Provider of DMEPOS
Integra Partners has been selected as the Preferred Provider for HHH Choices Gold (HMO Special Needs Plan). The contract, effective April 1, 2013 covers Orthotics, Prosthetics, and Durable Medical Equipment. HHH Choices Gold services members in the Bronx, Kings, New York, Queens, and Westchester counties. For more information regarding HHH Choices Gold, please visit the company’s website at www.hhhchoicesgold.com.
VNSNY Choice Expands Relationship with Integra Partners to Include Durable Medical Equipment Services
We are happy to announce that in addition to our existing contract with VNSNY Choice covering Orthotics and Prosthetics, Integra providers are now also able to provide Durable Medical Equipment services for these members. VNS Choice serves the 5 Boroughs of New York City, Nassau, and Westchester counties. For more information regarding VNS (Medicare Advantage), please visit the company’s website at www.vnsny.org.
*Please note that this expanded relationship does not cover VNSNY MLTC plan. This plan will remain O&P only.
Integra Partners and WellCare of New York Enhance Their Partnership
We are excited to announce the expansion of our relationship with WellCare of New York, Inc. Effective May 1, 2013 Apria Healthcare will no longer be a participating provider with WellCare. Instead, Integra Partners will be WellCare’s new provider for respiratory services and durable medical equipment needs.
WellCare of New York is dedicated to meeting the health care needs of New York residents. From its regional office in Manhattan, WellCare has been a leading provider of New York State government sponsored health plans including Medicare, Medicare PDP, Medicaid and State Children’s Health Insurance Programs.
Want to Win a Tablet?
In the coming weeks Integra Partners will be launching our first full network survey! We would like to thank all of our providers in advance for participating in this survey as the feedback will be invaluable to us.We strive to continuously improve and enhance our customer service to better suite all unique needs. These survey’s allow us to continuously gain insights into how our network is progressing and allows us to measure areas of the network that we could improve upon.
One lucky winner will be randomly chosen to win a brand new tablet!!!
Patient Eligibility File
Have you seen the new patient eligibility feature built into our billing platform?! This new tool allows providers to verify if the member’s insurance is active, check the spelling of their name, date of birth, gender and other demographics to assist in making the patient-provider experience more seamless. This is a great tool to determine if the patient is eligible for service coverage as well as other details regarding their plan. We hope that you will enjoy this as much as we do!
*This is not a substitute for verifying eligibility and benefits with the members plan
Integra Forms and Videos At Your Fingertips
Integra has been hard at work creating new ways for providers to access documents and training materials. With that, we have added a Forms and Videos section under the Resources tab on our website(www.accessintegra.com). When accessing the site, you may utilize your billing system username and password to login.
This page will be continuously updated with new forms and other training materials to assist our providers in their day to day activities.
Contract Amendment: Non-NY Providers/Health Plans
As Integra Partners continues to expand we want to ensure that we are providing you with the greatest access to service the covered lives within our plans. In doing so, we will be sending our out of state providers a Multi-State Agreement so that they may service members in New York State as well as any additional states we may expand to in the future. Please be on the look out for this agreement over the next several weeks and once received, please sign and return accordingly.
New Billing System Upload Feature
A new document uploading feature has been added to our billing system for your convenience! Remember, when submitting a claim, all necessary documentation must be submitted in order for us to process your claim and get you paid! This new feature will serve as a reminder as well as streamline the process. For more information visit our website–>click on Resources–> Forms and Videos–> Login using your doc-tor.com credentials–>Browse all of our resources!