Category Archives: News

ClearCoverage Go-Live

Clear Coverage Go-Live Date for DME Vendors Delayed The December 2nd launch of McKesson’s ClearCoverage portal for DME vendors will be delayed until further notice. Virginia Premier will send out communications regarding the new go-live date for the ClearCoverage portal.

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CompleteCare Electronic Funds Transmission

Virginia Premier CompleteCare offers EFT services through PaySpan. You must register with PaySpan to be able to receive EFT services for Virginia Premier CompleteCare claims.   If you would like more information about how to register with or access PaySpan, visit the video library on their website at https://www.payspanhealth.com/help/videolibrary/.   If you need additional assistance […]

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CompleteCare Announces New Claims Platform

Virginia Premier CompleteCare will be making several exciting changes in the coming weeks. Prior to the end of the year, we will be moving to a new claims platform for Virginia Premier CompleteCare. October 7, 2014 Dear Provider: Thank you for your continued service to our Members! Virginia Premier CompleteCare will be making several exciting […]

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Virginia Premier CompleteCare Authorization Changes

Effective October 6, 2014, all prior authorizations for Virginia Premier CompleteCare should be directed to Magellan Healthcare, Inc. September 1, 2014 Dear Provider: In an effort to promote continued quality improvement for services provided to Virginia Premier CompleteCare members, Virginia Premier entered into an agreement with Magellan Healthcare, Inc. to implement a behavioral health management […]

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Inpatient Hospital Reimbursement Changes

Inpatient Hospital Reimbursement Changes — Effective October 1, 2014 – APR-DRG Grouper August 29, 2014 Dear Facility: This memo is to inform you that effective for claims with dates of discharge on or after October 1, 2014, Virginia Premier Health Plan, Inc. will reimburse inpatient hospital services utilizing the All Patient Refined Diagnosis –Related Group […]

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