Nebraska Spring practicematters. For More Information. Call our Provider Services Center at Visit UHCCommunityPlan.

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1 Nebraska Spring 2017 practicematters For More Information Call our Provider Services Center at Visit UHCCommunityPlan.com

2 Important information for health care professionals and facilities In This Issue... Enhanced claimslink App Replacing Other Online Options Coming Soon: ReferralLink and Claims Submission Apps Communication Between PCPs and Specialists Is Key to Well-Coordinated Care Fighting Homelessness in Nebraska Interpreter Services Update: Radiology Prior Authorization No Longer Required p.1 We hope you enjoy the spring edition of Practice Matters. In this issue, you can read about the enhanced claimslink App, coordination of care, fighting homelessness, free interpreter services and much more. Happy spring! Practice Matters: NE Spring 2017 Provider Services Center:

3 Important information for health care professionals and facilities Enhanced claimslink App Replacing Other Online Options Coming Soon: ReferralLink and Claims Submission Apps We re introducing a new app on Link, your gateway to UnitedHealthcare s online tools. claimslink has enhanced features and an easy-to-use design developed with feedback from Link users. With claimslink, you can: In addition to claimslink, two brand new apps will be launching soon. referrallink will combine the referral functionality from the retired Eligibility & Benefits app and UnitedHealthcareOnline.com. It also will allow you to copy a referral so you don t need to enter all the same information again. The app initially will be available for UnitedHealthcare Commercial and UnitedHealthcare Medicare Solutions plan members. View claims information for multiple UnitedHealthcare plans Submit additional information requested on pended claims New! Create your own claims view by selecting which information is displayed New! View claims history timeline New! Create a new claim reconsideration request or view an existing one from the claim detail screen New! Switch to the eligibilitylink app without re-entering member information claimslink will replace our other online options for obtaining claims information: Claim Status and Claim Reconsideration on UnitedHealthcareOnline.com and the Claims Management and Claims Reconsideration apps on Link. The Claims Submission app initially will allow you to submit individual institutional claims with attachments to UnitedHealthcare. Our payer-specific editing rules will be applied to these claim submissions to quickly alert you of any errors. This app will be ideal for users who don t have an electronic data interchange (EDI) vendor. If you have questions, please call the UnitedHealthcare Connectivity Help Desk at , option 3, 7 a.m. 9 p.m. Central Time, Monday through Friday. The claimslink launch has begun and will continue through June. Your transition to claimslink will work the same way as the transition to eligibilitylink did users will have pop-up boxes to try claimslink for about three weeks before the transactions are removed from UnitedHealthcareOnline.com. Please watch your inbox because we ll send you an with instructions when claimslink is available to you. Learn More Get more information about Link at UnitedHealthcareOnline.com > Quick Links > Link: Learn More. If you have questions, please call the UnitedHealthcare Connectivity Help Desk at , option 3, 7 a.m. 9 p.m. Central Time, Monday through Friday. 1 Practice Matters: NE Spring 2017 TX - Summer 2013 Provider Services Customer Service Center:

4 Important information for health care professionals and facilities Communication Between PCPs and Specialists Is Key to Well-Coordinated Care Primary care physicians (PCPs) and specialists have shared responsibility for coordinating care and communicating essential patient information to each other. Lack of communication can negatively affect quality patient care. Relevant information from the PCP to the specialist should include the patient s history, diagnostic tests and results, and the reason for referring the member to the specialist for a consultation. The specialist is responsible for timely communication of the results of consultations to the PCP, and ongoing recommendations and treatment plans. Well-coordinated care starts with a regular exchange of information between health care providers to give the patient the highest quality care and care management. Fighting Homelessness in Nebraska Helping Members in a Housing Crisis Every night, 20,000 people are homeless in Nebraska. The average age of a homeless person? Nine. 1 These people sleep on the streets, in shelters, or move from couch to couch. Still others spend so much of their income on rent that they lack money for food, medicine, gas, adequate heat or air conditioning. UnitedHealthcare Community Plan of Nebraska is fighting back for our members by working with several local organizations focused on affordable housing and help for the homeless. We know members can t focus on staying well, managing chronic illness or living independently when they don t have access to safe, affordable housing. That s why Our Housing Navigator is available to make sure members have access to the services they need. If you are working with UnitedHealthcare Community Plan members who are experiencing a housing crisis, our Housing Navigator can help them navigate available resources to resolve their residential issues and receive appropriate medical care. To connect members with this service, please have them call the Housing Navigator at Open Door Mission Fast Facts Interpreter Services UnitedHealthcare Community Plan offers interpreter services free of charge, with no pre-authorization required. Just call our member service center and a representative will verify the member and connect you with an appropriate language line representative. To access our interpreter services during appointments and procedures, call our member service center at Update: Radiology Prior Authorization No Longer Required Effective March 1, 2017, UnitedHealthcare Community Plan of Nebraska will not require prior authorization for radiology services. For more information, please see your provider manual at UHCCommunityPlan.com > For Health Care Professionals > Nebraska > Provider Manual. 2 Practice Matters: TX NE - Summer Spring Customer Provider Services Center:

5 Nebraska practicematters Practice Matters is a quarterly publication for physicians and other health care professionals and facilities in the UnitedHealthcare network. Doc#: PCA UnitedHealth Group, Inc. All Rights Reserved.