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Provider Notices

On April 1, 2018, CMS will start mailing Medicare cards with new Medicare Beneficiary Identifiers (MBIs) to everyone with Medicare. CMS has designated a Provider Ombudsman for the New Medicare Card to serve as an additional resource for the provider community, to learn of implementation problems experienced by clinicians, hospitals, suppliers and other providers. Be ready to use the MBI by April 1 – visit the New Medicare Card website and read CMS’s Fact Sheet.


Provider Manual

Ultimate Health Plans’ “Provider Manual” was developed for use by contracted Providers and their staff. It is included by reference in the contractual agreement (the “Agreement”) between Ultimate Health Plans and the Provider, and it is intended to establish guidelines to facilitate compliance with Ultimate Health Plans’ established policies and procedures. This provider manual contains general information that should be utilized by Providers and their staff when caring for Ultimate Members.


Quick Reference Guide (QRG)

The QRG serves as a handy and valuable resource for information to help serve your patients who have become Ultimate Health Plans’ Members. You can find information on the following topics:

  • Frequently Used Contact Information for Ultimate Health Plans
  • Claims
  • Pharmacy and Prescription Drugs
  • Laboratory Services
  • Other Contracted Networks (Vision, Hearing, Dental, Behavioral Health)
  • Gym Membership and Locations
  • Over-the-Counter (OTC) Benefit
  • Referrals
  • Case Management
  • Prior Authorization
  • Grievances and Appeals
  • Patient Communication and UHP’s Commitment to Quality Care

Provider Newsletter

Important news, announcements and helpful information for our participating providers.


 

Advance Directives

Help Honor Your Patients’ Wishes.Our physicians and practitioners should discuss advance directives with their patients (as appropriate) and file a copy of any advance directive document (e.g., living will, durable power of attorney for health care, health care proxy or do not resuscitate (DNR) request) in a prominent place within the medical record. Each medical record that contains an advance directive should clearly indicate that said document is included.

This page was last modified: 7/10/2018 2:56:25 PM
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Ultimate Health Plans is an HMO plan with a Medicare contract. Enrollment in Ultimate Health Plans depends on contract renewal. The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, premium and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. Medicare beneficiaries may also enroll in Ultimate Health Plans through the CMS Medicare Online Enrollment Center located at www.medicare.gov. Ultimate Health Plans does not collect any member information through this website.

 

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