Credentialing application status. We are now processing credentialing applications submitted on or before March 7, 2024. Completion of the credentialing process takes 30-60 days. We will notify you once your application has been approved or if additional information is needed. View your credentialing status in Payer Spaces on Availity …Asuris Northwest Health; Blue Cross Blue Shield; BridgeSpan Health; CareFirst; CareSource; Centene; Cigna; CVS Health; Elevance Health; EmblemHealth; Guidewell; …Sign in, click on See my benefits > then select the Pharmacy tab > then Check costs and coverage, Find a drug to check drug costs. Don’t have an account? Create one. If you're not a registered member, select your insurance coverage below. You'll be redirected to our trusted pharmacy benefits partner and can see general information about ... You can remain anonymous. 24/7 anonymous hotline: 1 (800) 323-1693. Medicare Part C & D: 1 (800) 633-4227. Online reporting form. Contact us. If you have other questions or concerns, our customer relations representatives are ready to help. Call us at 888-675-6570. If you’re a Medicare Advantage member with a question about your dental benefits, please call 800-541-8981. Washington Healthplanfinder (www.wahealthplanfinder.org) NEED MORE HELP? Call us at 800-562-6900, 8 a.m. to 5 p.m., Monday - Friday. Live chat with us. Contact us to ask an insurance question. Asuris Northwest Health (www.asuris.com) Provider search (www. asuris.com)* Phone: 888-427-0470 Plans and premiums. Wellness programs. Small group incentive wellness. Asuris Motivate for large groups. Employee assistance programs. Consumer-directed health. Give your employees the value, flexibility, coverage and access of our plans.Wellness programs. Small group incentive wellness. Asuris Motivate for large groups. Employee assistance programs. Consumer-directed health. Give your employees the value, flexibility, coverage and access of our plans.Discover powerful benefit management solutions for employers. Our online tools make doing business with Asuris a little bit easier. Whether you're enrolling new members, making payments or gaining insight into how employees are using their benefits, these solutions make it faster and simpler to get things done.For PHCS Healthy Directions, 1-800-678-7427. For the MultiPlan Network, 1-888-342-7427. For the HealthEOS Network, 1-800-279-9776. For language assistance, please call 1-866-981-7427. For TTY/TTD service, please call 1-866-918-7427. MultiPlan provider networks allow health plan members to search for a provider online easily with our online ...Asuris Northwest Health 2019 Year in Review (PDF) Read our annual overview to stay updated about news & highlights. Read financial results, key health care initiatives and efforts to support our communities. Learn how we're improving the health care experience for our members.EFT Hotline Number. Call 1 (800) 662-7534 for missing EFT payments, or issues with bank account changes. At the prompt press 1 and leave a detailed message including your name, phone number, and Tax ID number. Electronic transactions include sending and receiving information electronically between trading partners – clients and vendors.You may contact the Asuris Utilization Management (UM) staff by calling the Customer Service at the toll free phone number on the back of your member ID card. Utilization management (UM) staff is available Mon.–Fri., 7:00 a.m.–5:00 p.m. PT, and 8:00 a.m.-6:00 p.m. MT. Staff can receive inbound communication regarding UM issues after normal ...Asuris Northwest Health is a PPO/PDP plan with a Medicare contract. Enrollment in Asuris Northwest Health depends on contract renewal. Easy doctor …Identifying members. Asuris member ID cards can help you determine: Where to submit claims. Who to contact for assistance. Which health plan, provider network, product and/or types of coverage your patient has, including deductibles and out-of-pocket maximums. Access Availity Essentials to: Verify the member number, including the prefix (if ...The Plan uses medical policies as guidelines for coverage decisions within the member’s written benefits. Below are summaries of recent changes to The Plan’s medical policies. The detailed policies and complete Medical Policy Manual are available online at www.asuris.com . We have included the section and policy number for your convenience.Asuris national provider network. Traveling? Our partnership with Multiplan gives you almost the same benefits you get when you're at home. Advantages discounts. These value-added programs offer great savings on health-related products and services. x. Attention!Asuris - Sign in ... Loading... Identifying members. Asuris member ID cards can help you determine: Where to submit claims. Who to contact for assistance. Which health plan, provider network, product and/or types of coverage your patient has, including deductibles and out-of-pocket maximums. Access Availity Essentials to: Verify the member number, including the prefix (if ... Administrative services only plans for groups. For groups that wish to explore self-funding, we offer administrative services only (ASO) plans including traditional ASO and level funding programs. We offer health insurance plans for businesses of all sizes. From small, medium, large and ASO plans, our group plans are versatile and customizable. You are about to leave regence.com and enter another website that is not affiliated with or licensed by the Blue Cross Blue Shield Association. Apply for Washington health insurance from Asuris Northwest Health.Get free quotes on affordable medical insurance plans and buy health care coverage from Asuris Northwest …Use our Find a doctor tool to quickly verify the information about your practice and the networks you participate in. Find a doctor will also help ensure you refer patients to in-network providers to minimize their out-of-pocket expenses. Members can use Find a doctor to get results that are personalized to their networks and benefits. Find a ...Asuris does not offer a high deductible Plan F. The high deductible plan pays the same benefits as Plan F after one has paid a $2,300 calendar year deductible. Benefits from high deductible plan F will not begin until out-of-pocket expenses exceed $2,300. Out-of-pocket expenses for this deductible areClaimsXten – We use ClaimsXten™, a clinical code editing software developed by Lyric. ClaimsXten logic is based on a thorough physician review of current clinical practices, physician specialty society guidance, and industry standard coding and guidelines. ClaimsXten’s web-based tool Clear Claim Connection allows providers to model claim ...Effective Date: March 1, 2024. Purpose of the Manual. The purpose of a medical policy is to provide guidelines for determining coverage criteria for specific medical and behavioral health technologies, including procedures, equipment, and services. The same process is used to evaluate medical and behavioral health technologies.The minutes are then divided into increments used in calculating anesthesia reimbursement. Our health plan uses 15-minute increments; 4 units per hour. Increments of less than 15 minutes will count as 1 unit. Example: Anesthesia time is billed as 80 minutes. Time units are 6 units (5 units * 15 minutes = 75 minutes.The following Asuris Northwest Health plans offer Medicare Advantage plus Prescription Drug plan coverage. Medicare Advantage plus Prescription Drug plans are an alternative way to get your ...Asuris ofers Medigap Plans A, C, F, G, K and N. All Medigap plans ofer the same “basic benefits”: Medicare Part A coinsurance; Medicare Part B coinsurance/copays; the first three pints of blood; and hospice care coinsurance/copays. Please note that Plan K covers many of the benefits at 50% and also has an annual out-of-pocket limit. Asuris ID cards are sent directly to the employer or to employees' homes. Employees will receive new cards each year at their renewal date if they've made any changes to their plans or changed dependent coverage. Cards should arrive within two weeks of the effective date, renewal date or a new employee's start-of-coverage date. The information you need is available to you online, 24/7. Our provider Self-Service Tool helps you get the most out of partnering with us. See helpful answers to frequently asked …If you use HealthEquity, be sure to check your preferences by signing in to asuris.com and going to My account. Learn more about HealthEquity online or call 1 (866) 346-5800. Managing your HSA through a bank of your choice. You can also set up an HSA with our referral partner, HSA Bank, for a discounted rate. And you always have the option to ... Most Asuris plans allow you to see any dental provider for services, but seeing a dentist in our provider network will help ensure you receive cost-effective, high-quality care. The advantages of visiting a provider in our network include: In-network dentists have a contract with us to provide services at a set fee. Your out-of-pocket costs are ... Understanding your preventive care benefits. Even if you’re healthy and feeling good, it’s important to keep up with your preventive care. Periodic health exams, cancer screenings, vaccines and other recommended preventive care services help prevent or detect problems early on when they’re easier to treat. We follow recommendations from ...User name or email. Password. Forgot user name / password. Sign in. Don't have an account? Create an account.Most Asuris plans allow you to see any dental provider for services, but seeing a dentist in our provider network will help ensure you receive cost-effective, high-quality care. Read more . Extractions. We like to think that our teeth will last a lifetime. They might, but sometimes we have to have a tooth pulled.Asuris Medicare Script Enhanced (PDP) is a Medicare Part D Prescription Drug Plan by Asuris Northwest Health. Premium: $127.00. Enroll Now. This page features plan details for 2024 Asuris Medicare Script Enhanced (PDP) S5609 – 002 – 0. IMPORTANT: This page has been updated with plan and premium data for 2024.Y0062_MULTIPLAN_CDA INSURANCE Washington 2023 (Pending) 2023 Summary of Benefits. Asuris TruAdvantage + Rx Primary (PPO) For residents of the following county in Washington: Spokane. H5010-008-001. January 1, 2023 – December 31, 2023. H5010_008001SB2023_M. SECTION I - INTRODUCTION TO SUMMARY OF BENEFITS.Washington Healthplanfinder (www.wahealthplanfinder.org) NEED MORE HELP? Call us at 800-562-6900, 8 a.m. to 5 p.m., Monday - Friday. Live chat with us. Contact us to ask an insurance question. Asuris Northwest Health (www.asuris.com) Provider search (www. asuris.com)* Phone: 888-427-0470 Plans and premiums.Asuris is a health insurance company that helps you find in-network providers and facilities for your plan. You can search by location, specialty, cost, quality and more in your online … Asuris Medicare Advantage plans make managing your health stress free, with affordable coverage, quality care and the personalized support you deserve. Book a virtual visit with a board-certified physician or mental health specialist on your schedule. Some plans offer unlimited virtual visits with a $0 copay, while others even provide access to ... Member benefits. As an Asuris member, you have access to more comparison tools to help you save money and make smarter health care decisions. Our search engine even shows which providers and facilities in your plan offer the best coverage (Category 1). From January 1, 2024, to June 30, 2024: As we work with providers to contract with the Prime IntegratedRx - Medical® network and become a designated provider for this program, from January 1, 2024, to June 30, 2024, all Asuris network providers are designated as eligible to provide medications included in the Asuris EquaPathRx program (subject ...Search Asuris Dental. Plan information and documents. We make it easy for you to get the information and resources you need to better serve your patients and help your practice run smoothly. 2024 Dental Manual and Guidelines. Important information you may need about our plans. View the Manual.These changes apply only to specialty and home delivery pharmacy services. They take effect April 1, 2021, and apply to all groups in lines of business that have Specialty Select (except Medicare plans). Express Scripts Pharmacy and Accredo will be in-network for members of Medicare plans. These members will retain the option to change …During the federal COVID-19 Public Health Emergency (PHE), we temporarily expanded our benefit coverage to make it easier for you to access the care you needed during the pandemic.Claims submission. Our participating providers and facilities agree to bill us directly for covered services provided to our members in accordance with their participating agreement. All providers that are eligible to contract with Asuris must bill for all services they perform under their own name. A licensed provider may not submit claims for ...Loading... ... Loading...Asuris Enhance Dental Plans. Good health starts here. Having healthy teeth and gums is a vital part of maintaining overall health. Because of the link between a healthy mouth and body, it’s important to encourage employees to be proactive about their dental care. Our dental plan suite offers employers and their employees comprehensive ...Eastern Washington A spousal discount of $15 per member, per month may be available. Eligibility for the spousal discount requires two members to reside at the same physical address and be enrolled on any combination of Asuris Medicare Supplement (Medigap) plan effective 6/2010 or later, such as a 2010 Standard Medicare Supplement …Published Jan 24, 2024. MultiCare demands a double-digit increase in fees in 2024. Asuris Northwest Health has served Eastern Washington for more than 90 years, providing access to high-quality ...Asuris is a community of members; health care providers and professionals; and employees who are helping each other pursue wellness and find support in the time of need. Asuris employees are part of the larger Cambia family of companies, which seeks to drive innovative health solutions.If you are making changes to your practice location or tax ID, we require a signed copy of your 147C or CP575 letter. Please fax these documents to 1 (888) 289-1313 after submitting this online form. If changing your tax ID, you must re-register with Availity Essentials and re-enroll in electronic funds transfer.Asuris will provide specific supporting documentation referenced in the booklet upon request, and when formally requested by a member, provider, or regulator as part of an audit, in compliance with the CAA. If a state or federal regulator initiates a MHPAEA audit of an employer group client, Asuris will work in partnership with the client to ...Washington Healthplanfinder (www.wahealthplanfinder.org) NEED MORE HELP? Call us at 800-562-6900, 8 a.m. to 5 p.m., Monday - Friday. Live chat with us. Contact us to ask an insurance question. Asuris Northwest Health (www.asuris.com) Provider search (www. asuris.com)* Phone: 888-427-0470 Plans and premiums.From January 1, 2024, to June 30, 2024: As we work with providers to contract with the Prime IntegratedRx - Medical® network and become a designated provider for this program, from January 1, 2024, to June 30, 2024, all Asuris network providers are designated as eligible to provide medications included in the Asuris EquaPathRx program (subject ...If you would like to speak with a clinical reviewer about the denial of a provider-administered medication pre-authorization request, please complete the Pharmacy Peer-to-Peer Review Request form to arrange for a peer-to-peer (P2P) discussion. For retail (self-administered) medications, please call Pharmacy Customer Service at 1 (844) 765-6827.Asuris Medicare Supplement plans offer peace of mind by protecting you from a variety of medical expenses that are not covered by Original Medicare. With Asuris Northwest …For PHCS Healthy Directions, 1-800-678-7427. For the MultiPlan Network, 1-888-342-7427. For the HealthEOS Network, 1-800-279-9776. For language assistance, please call 1-866-981-7427. For TTY/TTD service, please call 1-866-918-7427. MultiPlan provider networks allow health plan members to search for a provider online easily with our online ...Why Asuris dental. Asuris dental plans offer rich benefits and access to a large network of dentists nationwide. Our health and dental plans work together to help you live healthier, … Administrative services only plans for groups. For groups that wish to explore self-funding, we offer administrative services only (ASO) plans including traditional ASO and level funding programs. We offer health insurance plans for businesses of all sizes. From small, medium, large and ASO plans, our group plans are versatile and customizable. Asuris will provide specific supporting documentation referenced in the booklet upon request, and when formally requested by a member, provider, or regulator as part of an audit, in compliance with the CAA. If a state or federal regulator initiates a MHPAEA audit of an employer group client, Asuris will work in partnership with the client to ...Our pioneering industry agnostic sustainability, quality and safety solutions complement our regulatory offering and provide our clients with systemic risk-based quality assurance. We have a team of experts that can help you reduce risk, access global markets, promote health and safety, and protect the environment. Intertek Assuris provides ...Employees self-claim the electronic gift card code through Asuris Motivate. When an employee participates and complete their wellness activities within the first three months after the plan's effective or renewal date, the group will be rewarded with a 3% discount on the next applicable month's premium* in aggregate, back to the plan's ...Use the search box to find what you need. To refine your search, use the dropdown menus. Click on the column headers to sort your search results. Review summaries of benefits and coverage, plan highlights, affidavits, authorizations, policy booklets and other downloadable forms and documents.Medicare Basics. Medicare is a program administered by the federal government that provides insurance options for individuals age 65 or older, or any age for those who qualify because of certain disabilities or medical conditions. Medicare comes in four parts: Part A, Part B, Part C and Part D. Original Medicare, provided by the federal ...Asuris dental plans offer rich benefits, access to a large network of dentists nationwide, affordable coinsurance on basic and major services and no out-of-pocket expenses for in-network preventive services. Why Asuris dental. Our flexible dental plan options will help your employees stay healthy and within budget.User name or email. Password. Forgot user name / password. Sign in. Don't have an account? Create an account.Phone 1 (855) 252-1115 or by fax at 1 (855) 774-1319, 7 a.m. through 7 p.m. Monday through Friday. Notes: Once a notification or treatment request has been completed, the number may be referred to as the authorization number. Check the status of your requests using the same platform you used to submit the request:Download Asuris Northwest Health and enjoy it on your iPhone, iPad, and iPod touch. Everything you need to manage your health care benefits is at your fingertips with the Asuris app. You can quickly access all the tools, programs and resources that help you stay on top of your coverage and make smart, budget-friendly decisions. · View ... Member benefits. As an Asuris member, you have access to more comparison tools to help you save money and make smarter health care decisions. Our search engine even shows which providers and facilities in your plan offer the best coverage (Category 1). Incomplete tasks will result in cancellation of credentialing, onboarding and contracting processes. 1. Apply for credentialing. All providers must be credentialed before they can participate in our networks. Use our checklist and submit a credentialing application to get started. Follow the checklist. 2. Asuris Enhance Dental Plans. Good health starts here. Having healthy teeth and gums is a vital part of maintaining overall health. Because of the link between a healthy mouth and body, it’s important to encourage employees to be proactive about their dental care. Our dental plan suite offers employers and their employees comprehensive ...Medicare Basics. Medicare is a program administered by the federal government that provides insurance options for individuals age 65 or older, or any age for those who qualify because of certain disabilities or medical conditions. Medicare comes in four parts: Part A, Part B, Part C and Part D. Original Medicare, provided by the federal ...You need to enable JavaScript to run this app. Shop. You need to enable JavaScript to run this app.Asuris Enhance Dental Plans. Good health starts here. Having healthy teeth and gums is a vital part of maintaining overall health. Because of the link between a healthy mouth and body, it’s important to encourage employees to be proactive about their dental care. Our dental plan suite offers employers and their employees comprehensive ... Most Asuris plans allow you to see any dental provider for services, but seeing a dentist in our provider network will help ensure you receive cost-effective, high-quality care. The advantages of visiting a provider in our network include: In-network dentists have a contract with us to provide services at a set fee. Your out-of-pocket costs are ... Identifying members. Asuris member ID cards can help you determine: Where to submit claims. Who to contact for assistance. Which health plan, provider network, product and/or types of coverage your patient has, including deductibles and out-of-pocket maximums. Access Availity Essentials to: Verify the member number, including the prefix (if ... Policy No: 114. Originally Created: 07/01/2012. Section: Administrative. Last Reviewed: 10/01/2023. Last Revised: 09/01/2022. Approved: 10/12/2023. Effective Date: 11/01/2023. Policy Applies To: Group and Individual. This policy applies to all physicians, other qualified health care professionals, hospitals, and other facilities.HealthEquity offers the following payment options:: Reimbursing members directly for any out-of-pocket expenses they incurred once the claim is processed. Providing a debit card that the member can use to pay for expenses from their HSA account. Paying the provider directly through the HealthEquity virtual card payment process, once the claim ... Prime administers our pharmacy benefits, provides customer service and manages an extensive retail network. This PBM is in place for our group, Individual and Medicare members. Members on administrative services only (ASO) groups that use a different PBM are excluded. Prime has web-based tools to help you submit pharmacy pre-authorization ... The Medical Policy Manual contains Medical Policies approved by the Medical Policy Workgroup. Medical Policies are based upon scientific evidence of merit for a particular medical technology. Technology determinations are made using criteria developed by the BlueCross BlueShield Association's® Technology Evaluation Center. Use.Asuris dental members will begin transitioning to our new service platform on September 1, 2023, continuing in a phased manner through 2024. You will be able to use both Availity and MyDentalCoverage through 2024 for patients who have transitioned to the new service platform. Providers can use the MyDentalCoverage portal to: Register.Pronunciation of asuris with 3 audio pronunciations, 1 meaning and more for asuris. Asuris Northwest Health 2019 Year in Review (PDF) Read our annual overview to stay updated about news & highlights. Read financial results, key health care initiatives and efforts to support our communities. Learn how we're improving the health care experience for our members.
Contact us. If you have other questions or concerns, our customer relations representatives are ready to help. Call us at 888-675-6570. If you’re a Medicare Advantage member with a question about your dental benefits, please call 800-541-8981.. Mayo cme
If you are making changes to your practice location or tax ID, we require a signed copy of your 147C or CP575 letter. Please fax these documents to 1 (888) 289-1313 after submitting this online form. If changing your tax ID, you must re-register with Availity Essentials and re-enroll in electronic funds transfer. You can remain anonymous. 24/7 anonymous hotline: 1 (800) 323-1693. Medicare Part C & D: 1 (800) 633-4227. Online reporting form. With you, at every step. With Asuris, you get more than a health plan. We’re your health partner too. Our award-winning Customer Service team is local, here for you when you need help with anything from choosing coverage to finding resources for your health and well-being. Contact us.To be sure we're connecting you with the correct account, please enter your information as it's shown on your member ID card. Already have an account? Sign in. Last name. Date of birth. Last 4 digits of ID number. Last 4 digits of group number. Continue.Asuris HSA Healthplan 2.0 SM Asuris HSA Healthplan 2.0 is a comprehensive health plan and a tax-free savings account all rolled into one. It's an easy, tax-free way to pay for life's medical expenses. Calculate the savings potential with our HSA Calculator. Traditional HSA Summary of Benefits (PDF) HSA 100 Summary of Benefits (PDF) Expert health advice available 24/7. When you or a covered family member is sick, hurt or needs health care advice, it can be hard to know what to do. With Advice24, whether it's day or night, you can connect with a nurse over the phone or virtual chat* to get guidance and peace of mind. Registered nurses are available 24/7, 365 days a year, to ... Asuris: Provides free aids and services to people with disabilities to communicate effectively with us, such as: Qualified sign language interpreters ; Written information in other formats (large print, audio, and accessible electronic formats, other formats) Provides free language services to people whose primary language is not …Why be a participating provider? Market-driven reimbursement: Asuris networks offer your practice competitive reimbursement based on the maximum allowable charge.; Claims simplification: Participating dentists are not required to submit radiographs and periodontal charting with claims, unless requested in certain cases.; A large and growing …EFT Hotline Number. Call 1 (800) 662-7534 for missing EFT payments, or issues with bank account changes. At the prompt press 1 and leave a detailed message including your name, phone number, and Tax ID number. Electronic transactions include sending and receiving information electronically between trading partners – clients and vendors.Asuris is a health plan that offers coverage for members in California. Learn how to identify members' coverage, submit claims, receive payment and access electronic transactions …Asuris Northwest Health is a PPO/PDP plan with a Medicare contract. Enrollment in Asuris Northwest Health depends on contract renewal. Easy doctor …Expert health advice available 24/7. When you or a covered family member is sick, hurt or needs health care advice, it can be hard to know what to do. With Advice24, whether it's day or night, you can connect with a nurse over the phone or virtual chat* to get guidance and peace of mind. Registered nurses are available 24/7, 365 days a year, to ...Asuris Northwest Health has served Eastern Washington for more than 90 years, and we are taking a stand against unprecedented demands from MultiCare to raise the total cost of health care.If you qualify, you can apply for health care coverage or make changes to your existing coverage today. Visit your state’s coverage website to see if you qualify for subsidies, or ….