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Provider News | Ambetter from SilverSummit HealthPlan

 

Provider News

February

Routine Foot Care

02/12/25

Ambetter Health reimburses for routine foot care in accordance with state mandates and CMS guidelines. Routine Foot Care services are not restricted to podiatrists. These services may be used by any certified physician or non-physician (NPP) specialty.

November

Ambetter from SilverSummit Healthplan introducing Availity Editing Services

11/25/24

In a continuous effort to make it easier to do business with us, Ambetter from SilverSummit Healthplan is introducing Availity Editing Services (AES).

Razormetrics Bulletin

11/05/24

Lower drug costs for your patients are on the way.

October

Ambetter Health Solutions to Begin January 1, 2025

10/21/24

Ambetter Health Solutions is a new offering from Ambetter Health that will be available to individuals who receive a defined contribution from their employer to purchase individual health insurance, such as through Individual Coverage Health Reimbursement Arrangements (ICHRAs).

July

NEVADA REPRODUCTIVE HEALTH BILLING REQUIREMENTS UPDATE

07/19/24

Beginning March 1, 2024, the billing requirements are changing for Reproductive Health Services in the State of Nevada.

November

Epic Payer Platform

11/08/23

We are pleased to be participating in Epic Payer Platform, a platform that enables more secure, efficient bi-directional data exchange between providers and health plans, as part of our broader interoperability strategy.

Find-a-Provider Directory

11/06/23

Thank you for your continued partnership. We remain committed to ensuring our members have access to quality care from valued providers such as yourself.

October

Express Scripts Transition: Frequently Asked Questions

10/17/23

This FAQ provides additional information on the migration of our Pharmacy Benefit Manager (PBM) services from CVS® to Express Scripts®, effective January 1, 2024.

Important Pharmacy Claims Processing Change, Effective January 1, 2024

10/01/23

We are pleased to announce that, effective January 1, 2024, Express Scripts® will begin processing pharmacy claims for our plan members.

August

Ambetter Member Plan Benefits Resume for Applicable COVID-19 Testing, Screening, and Vaccination Services as of August 1, 2023

08/01/23

Since the federal Public Health Emergency (PHE) related to the COVID-19 pandemic ended on May 11, 2023, Ambetter is committed to providing a smooth transition for both our members and providers as we resume business as usual.
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