Quick reference guide of HEDIS measures for pediatric and adolescents includes coding information and tools for improving performance.
Claim payment card, FluMist not recommended for 2016-2017 season, drug formularies, and more.
See monthly clinical practice and business updates.
See what services require review beginning Sept. 1.
Pharmacy News: July 2016 (PDF)
Latest pharmacy news from Group Health for providers.
Highlights from the June 8 meeting.
See the latest updates, effective June 1, 2016.
See Clinical Pearls recommendations you can integrate into your practice.
Non-Medicare Drug List updated June 1.
Updated policy for reimbursement of fetal non-stress tests.
Effective Aug. 8, Elotuzumab (Empliciti™) will be added to the non-Medicare list of injectable drugs requiring prior authorization.
Group Health's quick reference guide of common HEDIS measures includes newly issued statin measures for patients with cardiovascular disease and diabetes.
Modifiers Payment Policy (PDF)
See updated information on the P3, P4, and P5 modifiers. These do not impact reimbursement.
See what's offered, which services require preauthorization, and get information about claims submissions.
Updates to our guidelines, services, provider manual, and other important information.
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.
Change to Your Practice?
Group Health Appointment Access Standards