Neighborhood Health Plan
Neighborhood Health Plan Provider News

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Visit us often at nhp.org for other important NHP member and provider updates.  


In This Issue
New PCP Report
Revised NHP Payment Guidelines
Upcoming Provider Operations Meeting

A reminder that our

Provider Manual 

has been updated as of July, 2011!

 


Provider Audit Appeal Form

We have recently revised the NHP form for submitting audit specific appeals.

 

Click here to download the new version and be sure to use it going forward! 

 

For all other administrative provider appeals, please use the new Request for Claims Review Form.

 

Stay Informed!

 

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community and view archived versions of these monthly provider updates!
 

August, 2011
Provider Banner
Greetings!

Greetings!

We hope this message finds you well and enjoying this warm weather as summer seems to fly by us all!

Please find below a list of important Neighborhood Health Plan updates.
A New PCP Report!

In response to providers request, we are pleased to announce a new  monthly report of seven months old members for whom NHP has received less than three well-child visit claims between birth to six months of age.

 

This report will assist PCPs in identifying infants who may not be on track to receive the total well-child visits recommended during the first 15 months of age. Check your inbox in the next few days when we will confirm the new report's availability.

 

We value your feedback on whether you find our clinical reports helfpul.  

Click here to tell us about it!

Hospital Admissions Report Now Available

The most recent NHP Quarterly Hospital Admissions Report has been posted. This report lists all members who received inpatient services at a facility, allowing for a 90 days lag for greater accuracy. 

 

Please share this information with relevant staff as you deem appropriate. To view your report now, click here to login to your NHPNet account.

Provider Payment Guideline Updates

The following Provider Payment Guidelines have been recently developed or revised and are now available:

 

  * please review changes specific to reimbursement of codes 99053 and 99058 in addition to other codes no longer covered

** please review coverage exclusions list

 

For revised payment guidelines, please refer to the last page of each guideline for additional details on the scope of changes.

 

Upcoming Provider Operations Meeting

Our next Provider Operations Meeting is Wednesday, August 17th.

 

Two sessions being offered for your convenience. Click here to check out the agenda and/or register for our morning or afternoon session.

 

We look forward to seeing you! 

Thank You!
On behalf of all of us at Neighborhood Health Plan, we thank you for the excellent care provided to our members and the continued collaboration extended to our staff.

 

Provider Relations Department

Neighborhood Health Plan

[email protected] 

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Please Note: the information above is based on data provided to NHP and voluntarily updated by the recipient. To update your contact information click here.