March 2020

Featured Story: New provider education resource site and upcoming webinars 

We're dedicated to ensuring that you have quick access to important resources and the latest information - so you can spend more time providing care to your patients, and less time with administrative tasks. That's why we developed a new Provider Education site to promote upcoming webinars and centralize training resources. 

In This Issue

• NEW: provider education resource site and webinars
• Join us for the next Rhode Island Provider Meeting on April 8
• Survey: what do you think of our website?
• Now available: online authorizations for medical benefit medications
• Growing our provider network in Massachusetts, New Hampshire and Rhode Island
• Medical policy
• Formulary updates
• Contact information

NEW: provider education resource site 

We're dedicated to ensuring that you have quick access to important resources and the latest information - so you can spend more time providing care to your patients, and less time with administrative tasks. That's why we developed a new Provider Education site to promote upcoming webinars and centralize training resources.  

Click here to check it out today.

RSVP today: upcoming provider education webinars

To support ongoing provider education, we've developed a series of webinar training. Here's a look at upcoming webinars - don't forget to RSVP:

Onboarding for ancillary providers
This webinar is designed for ancillary providers who are new to the network or would like a refresher on how to do business with AllWays Health Partners. We will give an overview of processes, available resources, and our provider portal.
Date: Monday, March 30, 2020
Time: 12-1 PM
RSVP here

Provider portal registration and overview
AllWays Health Partners' secure provider portal is your primary resource to verify member eligibility, submit prior authorization, view claims status and much more. In this webinar, we will provide a step-by-step overview of the registration process and give an overview of all the capabilities and information that you will have access to. 
Date: Wednesday, April 15, 2020
Time: 12-1 PM
RSVP here

Join us for the next Rhode Island Provider Meeting on April 8

We will be hosting the next regional provider meeting at the Crowne Plaza Hotel in Warwick, Rhode Island on April 8. Join us to learn more about doing business with AllWays Health Partners, get to know your dedicated Provider Network Account Executive as well as other members of our Provider Relations team, and network with your peers from around the region. Lunch will be served. 

We hope to see you there!

Survey: what do you think of our website?

It’s been two months since we redesigned our provider website, provider.allwayshealthpartners.org, and we want to know what you think. The changes we made in December were based on your feedback from last year’s provider survey, where you asked us for a better online experience with easier navigation. That’s why we created a resource hub with quick access to the information you use the most, such as medical policies, prior authorization requirements, and claims-submission info.

We also added:

• Convenient quick links at the bottom of most pages

• A Clean new look for the Best Practice blog
• Streamlined navigation so it's easy to find what you're looking for
• New archives for our Administrative Newsletter and Clinical Digest

We’re always striving to improve your experience, which is why we’re conducting a survey asking for your feedback on these changes. The survey is short and simple, and completing it will get you entered to win a gift bag! But more importantly, you’ll be helping us make the provider website even better. Thank you for your time in advance, and stay tuned for more enhancements coming your way! 

To access the survey, click here.

We’re looking forward to hearing your thoughts!

Now available: online authorizations for medical benefit medications

Network providers can now submit online medical benefit medication prior authorizations through the NovoLogix online prior authorization tool. Online submission is fastest way to request and receive a decision on your prior authorization. Requests that meet criteria may be approved in seconds. 

Which medications can be submitted online?

The drugs outlined in this list require prior authorization through NovoLogix. Those that are eligible for online submission have been labeled. At this time, dual (medical and pharmacy) benefit drugs must continue to be submitted via fax or phone. We will continue to review and add new drugs to online submission.  

Access the NovoLogix online authorization tool via the Provider Portal

On the provider portal homepage, you will now see a Prior Auth Vendors section. Click on the corresponding link to access the NovoLogix prior authorization tool.

All registered AllWays Health Partners provider portal users will automatically have direct access to the NovoLogix online prior authorization tool. No additional registration will be required.

You can also access the NovoLogix online tool by clicking on the corresponding link within the E-Business menu.

If you are not currently registered for AllWays Health Partners' provider portal, sign-up today at allwaysprovider.org. Visit our provider portal resource page for more information about the registration process or email prweb@allwayshealth.org. 

How to submit online prior authorization

Submitting an online prior authorization is simple. Here are more detailed information on how to submit prior authorizations through NovoLogix:

• Training video
• User manual

For questions and prior authorization support, contact NovoLogix customer service at 844-345-2803.

Growing our provider network in Massachusetts, New Hampshire and Rhode Island 

More and more providers are joining the AllWays Health Partners network because of our market competitive rates, simplified administration and leading-edge technology. In New Hampshire and Rhode Island we've seen triple digit percent increases to our provider network. 

Providers who join our network can now follow our new digital onboarding experience. Getting started with AllWays Health Partners has never been any easier. 

Here's a look at some providers who joined the AllWays Health Partners network within the past year:  

• Khalsa Chiropractic Back Bay, Inc
• Terryl A. Dorsch, DPM, PC
• Northeast Oral Surgery
• Liberty Chiropractic, Inc
• Windham Chiropractic and Massage Therapy
• Katrina Schroeder Smith Nutrition Counseling 
• Lexington Medical Management, PC
• Copley Square Chiropractic, PC
• Integrated Center for Child Development
• Lenore Daniels Miller
• Keamy Eye  & Laser Centre, LLC
• Marc C. O'Meara, RD
• Sandra Klemmer, RD
• Worcester Eye Consultants
• Steven L. Berk, MD, PC

If you are not yet contracted with AllWays Health Partners, submit your online request today to get started. 

Medical policy

The following medical policy updates are effective March 1, 2020:

• Mobile Cardiac Outpatient Telemetry– Annual review without substantial changes in medically necessary indicators. References updated. 
• Outpatient Chest Physical Therapy – Annual review without substantial changes in medically necessary indicators. 
• External Counterpulsation – Annual review without substantial changes in medically necessary indicators. 
• Bronchial Thermoplasty – Annual review without substantial changes in medically necessary indicators. 

View all medical policies.

Formulary updates

AllWays Health Partners regularly reviews and updates our formulary to ensure alignment with the industry. Check out the latest updates effective May 1, 2020. 

For the latest information on our pharmacy programs, visit our online formulary today.