EDI Interface Systems Downtime
On Saturday, May 9, between 8 a.m.-8 p.m., our electronic data interchange system (EDI) will be unavailable during a system upgrade. Batch and real-time transactions will be delayed or unavailable; this includes benefits and eligibility lookups, referral requests, and claims status inquiries.
Two Provider Forms Are Not Available
The Inpatient Admission Form and the Provider Site Feedback Form are unavailable.
If you need to send an inpatient notification to Group Health, please send it via our secure fax number: 206-901-6109.
Check out our Clinical Pearls short, straightforward clinical recommendations you can integrate into your daily practice.
Patient medication adherence, alternatives to Colchicine for treating gout, FDA alert for Chantix, and more.
Review the Non-Medicare Drug List updated on Dec. 24, 2014.
A member-sponsored advisory resolution, reaffirming Group Health's longstanding commitment to provide a full spectrum of legal, covered, and medically appropriate services, including reproductive health and end-of-life care, has been approved by our voting members.
View highlights from the meeting on March 11, 2015.
Effective June 1, Group Health will reimburse evaluation and management office or home visits with modifier 25 provided to commercial members at 50 percent of the contracted allowed amount when billed with a preventive medicine examination on the same day, by the same provider.
HEDIS medical record FAQs, pneumococcal vaccine recommendations, new lung cancer screening guideline, and more.
Drugs Requiring Prior Authorization Approval
Effective May 1, the following drugs require prior authorization before being administered in a physician's office:
2015 HEDIS® Medical Review Season
Through mid-May, Group Health will review medical records to measure practice compliance with certain Healthcare Effectiveness Data and Information Set® (HEDIS) measures. Our reviewers may contact your office. More info: Medical Record Review Letter (PDF) and HEDIS Season FAQs (PDF)
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
Contractually binding information on this site.
Continuing Medical Education
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