The PA experience you asked for is finally here

Posted by AllWays Health Partners blog team on October 08, 2020

On October 26, it's going to get even easier for network providers to request prior authorization for outpatient services. Based on your feedback, we're reducing  your administrative burden and helping you quickly connect patients with necessary care. Read on to learn more about the changes and to sign up for one of our live webinars. 

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Topics: AllWays Health Partners, Claims, Providers

INFOGRAPHIC: How does AllWays Health Partners process claims?

Posted by AllWays Health Partners blog team on March 05, 2020

When you file a claim, what happens to it? The answer may be more complicated than you think.

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Topics: Claims, Providers, Members

Four ways we're addressing pharmacy costs

Posted by AllWays Health Partners blog team on February 05, 2020

UPDATE: Federal law is beginning to move towards a solution to high prescription drug prices. The U.S. Supreme Court will soon take up a case on whether states can regulate certain aspects of prescription drug reimbursement, essentially taking on pharmacy benefit managers (PBMs) and protecting pharmacies from below-cost reimbursements. In addition, the “Lower Costs, More Cures Act” was introduced in December with the aim to lower out-of-pocket spending, protect access to new medicines, and strengthen transparency, accountability, and competition. This act has considerable bipartisan support, making it likely to pass.

Today's post is from our broker blog, AllWays Insider, which is exploring pharmacy cost trends in a series of posts.  

Because many of the dollar amounts reported on cost increases are so staggering, health plans and pharmacy benefit managers (PBMs) are working together to address increasing drug costs. Here are four measures aimed to control premium and out-of-pocket insurance costs and help manage prescription drug costs.


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Three pharmacy terms you might not know

EpiPens: Medications at what cost

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Topics: Claims, Providers

Best billing practices for immunizations

Posted by Melissa Hinckley on August 29, 2019

As National Immunization Month — and summer — wraps up. Here are a few reminders about how to bill for vaccinations, along with some news about HPV vaccine coverage. 

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Topics: Claims, Physical health and wellness

Why unlisted CPT codes can cause trouble when filing claims

Posted by Christine Murphy on August 22, 2019

Recently we published an article about the anatomy of a CPT code. In it, we explained how these digits keep everything clear and consistent for payers and providers. But what about unlisted codes? Some payers have stopped accepting them altogether. Here's why. 

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Topics: Claims, Providers

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