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.
Referral request tool updates and changes to Medical Necessity Review Criteria.
Q&A on Group Health recommendations vs. ACC/AHA recommendations, medication adherence, medication safety, ospemifene (Osphena): new medication review, sofosbuvir and a shifting hepatitis C treatment paradigm.
When benefits allow, Group Health will reimburse unlisted codes when services are medically necessary and a more specific code cannot be utilized.
Review the Non-Medicare Drug List updated on March 19, 2014.
View the Formulary Decision Highlights updated on March 12, 2014.
Group Health will not separately reimburse for the use of robotic surgical systems, including but not limited to, CPT/HPCS S2900, 20985, 0054T, and 0055T.
Group Health congratulates network providers, members on fee-for-service with Group Health secondary, HEDIS® medical record review season, Medicare Annual Well Visit benefit and Group Health individual Medicare enrollees, and more.
Effective June 1, 2014, Group Health will not separately reimburse facility charges for evaluation and management services provided to commercial Managed Care Members regardless of the revenue code.
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
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Continuing Medical Education
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Recommendations for clinicians and patients about specific clinical circumstances.
Fraud, Waste, Abuse (FWA) Prevention Training
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