News & Announcements
COVID-19 Information
Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging
The following updates will apply to the AIM Specialty Health* Clinical Appropriateness Guidelines for Radiation Oncology for claims with dates of service on and after March 14, 2021. Please note that there are no restrictive changes in this update.<.p
Flu vaccination reimbursement
Racial Trauma Forum Invitation
Notification regarding inhaled nitric oxide
The purpose of this notification is to inform participating hospitals that the use of inhaled nitric oxide (iNO) during an inpatient stay will be reviewed for medical necessity using our Clinical Utilization Management (UM) Guideline for Inhaled Nitric Oxide, CG-MED-69. iNO is a covered service for eligible members when the use of iNO meets medical necessity criteria.
Talking points for dissolved partnership with Montefiore
The provider collaboration agreement between Empire BlueCross BlueShield HealthPlus (Empire) and Montefiore ACO IPA will dissolve effective January 1, 2020.
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