Longer Wait Times for Provider Assistance Unit
Due to higher than normal call volume, you may encounter longer wait times when calling the Provider Assistance Unit.
Group Health Options, Inc., a subsidiary of Group Health Cooperative and a health care services contractor, is expanding its Preferred Provider Organization (PPO) physician network and we'd like you to join us. Get started today.
Get the onboarding information you need to see your Group Health PPO members beginning Jan. 1, 2014.
Check out our Clinical Pearls short, straightforward clinical recommendations you can integrate into your daily practice.
Group Health will not separately reimburse for shared medical appointments also known as group visits, when billed with CPT code 99078.
Group Health will review the presence or absence of modifiers coded on all claim types. Modifiers may impact the claim reimbursement amount or result in a claim denial. See some of the more common modifiers.
Group Health has adopted the Best Practice Recommendations for Claim Coding Policy and Edits: Standardization & Transparency as outlined in Washington State Senate Bill 5346 and published through the Administration Simplification work of Washington Healthcare Forum for claims reimbursement to result in accurate payment.
Effective May 1, 2014, Group Health is changing the medical necessity review criteria for continuous glucose monitoring and spinal fusion (lumbar).
Find information about the Washington Health Benefit Exchange and how health care reform affects your Group Health patients.
Effective May 1, 2014, Supprelin LA (histrelin implant) and Vantas (histrelin implant) will be added to the non-Medicare list of office-administered drugs requiring prior authorization.
Beginning in February 2014, Group Health Cooperative Medical Record Reviewers will be contacting offices to arrange a time to collect medical record information or request that records be faxed or mailed to us.
For questions about your existing account, call OHP technical support at 1-800-973-4797.
Don't have an account? Visit OneHealthPort for more information.
Online Services Demos
Quick access to the contractually binding information on this site.
Continuing Medical Education
We offer programs to maintain and enhance professional skills.
Recommendations for clinicians and patients about specific clinical circumstances.
Fraud, Waste, Abuse (FWA) Prevention Training
To complete Group Health's training, review our