Category Archives: News

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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Providers – looking for a faster way to submit authorizations?

Over the next year, Virginia Premier will launch McKesson’s Clear Coverage to help providers submit authorization requests and medical records. This tool is a web-based system that provides an automated method for providers and health plans to manage and receive automated authorizations for services, coverage decisions and steerage to in-network providers in real time. Benefits […]

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Virginia Premier Medical Home

The Virginia Premier Medical Home is now open and seeing patients. The medical home is solely serving Virginia Premier Health Plan members.  Please click here to read more about the services we provide and meet our team of providers. Call 540-278-1051 to schedule your appointment today!

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