Change to IVR Implementation in 2011
9/21/2011
After extensive research and focus groups with our provider customers, Dean Health Plan has made the decision not to proceed with our planned IVR go-live in 2011. In response to the request, we are currently building our new online tools to better assist you to submit and receive content in the manner which you prefer.
Dean Health Plan’s Medical Value Emphasis
9/21/2011
In March of 2011, as required by the Affordable Care Act, the Secretary for the Department of Health and Human Services presented to Congress a National Strategy for Quality Improvement in Health Care. This strategy is intended to champion three broad goals to guide and assess local, state and national efforts to improve the quality of health care
Automated Access System Updated to Enhance Usability
4/19/2011
Dean Health Plan will soon roll out a new automated access system to more effectively and efficiently address your inquires. The new system will house more detailed information on claim status and eligibility.
BadgerCare Plus 2011 Performance Improvement Projects
4/19/2011
The Department of Health Services issued the following areas of focus for Dean Health Plan (DHP) in 2011.
Billing for Cesarean Section Births
4/19/2011
This is a reminder for physicians who bill a medically necessary Cesarean Section covered by Medicaid.
Claim Payment Status
4/19/2011
please review these reminders regarding alternatives for obtaining claims and how to make your communication about claims status with DHP more efficient.
Focus on HEDIS in 2011
4/19/2011
Dean Health Plan (DHP) is committed to providing members with the highest quality of care and service. As a DHP provider, you play a critical role in delivering this promise and DHP thanks you for your effort.
Formulary Changes for April 2011
4/19/2011
The DHP Formulary and Therapeutics Committee met on February 24, 2011. The following drugs were reviewed at this meeting
FSG Emergency Room Copay Benefit Change
4/19/2011
To promote the most appropriate, affordable care for our members, Dean Health Plan (DHP) is increasing the standard emergency room copay for small group business (two to 50 total employees) on Federal Small Group (FSG) plan designs.
Medical Necessity and Insurance Benefits
4/19/2011
One question and frustration that continues to trouble physicians and patients is which services are going to be approved and paid for by insurance, and how that relates to what a physician recommends and what a patient expects, thinks he/she needs or simply wants.
