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Providers: 2010 Flu Season is Upon Us

Posted by & filed under Newsroom, Provider News.

By Ronald A. Charles MD MHA FACE FACHE

Vice President, Medical Affairs

Buckeye Community Health Plan

Fall is once again upon us, and that means back-to-school, cooler weather, and autumn leaves. For physicians, it is time to prepare for the flu season. Traditionally, that meant family physicians and internists had to ensure they encouraged their patients over age 65 and those with certain chronic diseases to get a flu vaccine.

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Buckeye Contracts with NIA for Radiology Benefit Management

Posted by & filed under Newsroom, Provider News.

Effective August 2, 2010, Buckeye Community Health Plan is contracted with National Imaging Associates, Inc. (NIA), an affiliate of Magellan Health Services, for radiology benefit management. 

The program includes management of non-emergent, high-tech, outpatient radiology services through prior authorization.  This program is consistent with industry-wide efforts to ensure clinically appropriate quality of care and to manage the increasing utilization of these services.

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PaySpan Health Webinars July Schedule for Providers

Posted by & filed under Newsroom, Provider News.

Buckeye Community Health Plan partners with PaySpan Health to offer our providers expanded claim payment services. By signing up with PaySpan Health, a web-based application, providers receive convenient electronic claim payments (EFTs), and online remittance advices (ERAs/EOPs). These services assist practices in receiving claims payments quicker.

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Payformance provides EFT and ERA web-based solutions for providers

Posted by & filed under Newsroom, Provider News.

Payformance provides EFT and ERA web-based solutions for providers

Buckeye Community Health Plan is pleased to partner with Payformance by PaySpan Health to provide an innovative web-based solution for Electronic Funds Transfers (EFTs) and Electronic Remittance Advices (ERAs). This service is provided at no cost to providers and allows online enrollment. Visit our Payformance page for more information.

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Buckeye Achieves NCQA “Commendable” Accreditation

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Buckeye Community Health Plan has achieved Commendable Health Plan Accreditation Status from the National Committee for Quality Assurance (NCQA).

“Achieving an accreditation status of Commendable (the NCQA’s second highest Health Plan accreditation status) from NCQA is a sign that a health plan is serious about quality,” said Margaret E. O’Kane, NCQA’s President. “It is awarded to plans whose service and clinical quality meet or exceed NCQA’s rigorous requirements for consumer protection and quality improvement.”

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