News and Highlights

ICD-10 Authorizations

Due to an unexpected delay loading ICD-10 related data into our production system, we regret to change the date you can submit authorizations from Sept. 1 to Sept. 8. We apologize for the inconvenience. Please email if you have further questions.

Inpatient Admission Form Not Available

If you need to send an inpatient notification to Group Health, please send it via our secure fax number: 206-901-6109.

New Fax Number for Group Health's Physical Medicine & Rehabilitation

The fax number for Physical Medicine & Rehabilitation has changed. Please send faxes to 206-326-2700.

August Clinical Tips

Check out Clinical Pearls — recommendations you can integrate into your daily practice.

Changes to Medical Necessity Review Criteria (PDF)

Effective Nov. 1, changes to medical necessity review criteria may affect coverage of services for intensity modulated radiation therapy (IMRT) and implantable loop recorder (cardiac event recorder).

Claims Systems Enhancement Notice

Group Health is implementing automation into our claims processing system to ensure a quicker turn-around time in payment. See the June eNews (PDF).

Changes to Medical Necessity Review Criteria (PDF)

Effective Sept. 1, changes to medical necessity review criteria for transcutaneous electrical nerve stimulator may affect coverage of services.

Change in Reimbursement for Fetal Non-Stress Tests (PDF)

Effective Oct. 1, Group Health will not separately reimburse for these tests, CPT code 59025.

Group Health's Bremerton Location Is Closed

Services have moved to Group Health's Silverdale and Port Orchard clinics. Learn more (PDF).

Pharmacy News: July 2015 (PDF)

Asthma medication adherence, use of suvorexant, pharmacologic options for alcohol use disorder, and more.

Formulary Decision Highlights: June 2015 (PDF)

Highlights from the June 10 meeting.

Provider Update: June 2015 (PDF)

ICD-10 implementation, updated depression and tobacco use guidelines, new sleep disorders guideline, pharmacy updates, and more.

Group Health Contracted Hospitals (XLS)

List identifying whether contracted hospitals are religiously affiliated. For questions about services, contact the hospitals or Dr. Paul Sherman at Group Health.

'Ensuring Comprehensive Care at Religiously Affiliated Hospitals'

This member-approved advisory resolution reaffirm's Group Health's commitment to provide a full spectrum of legal, covered, and medically appropriate services, including reproductive health and end-of-life care.

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Complete the appropriate form and e-mail it to Provider Services.

Contracted Provider Information Change/Update Form (Word)

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Provider Manual

Contractually binding information on this site.
Provider Manual Index

Clinical Guidelines

Recommendations for clinicians and patients.
Clinical Guidelines