Take an active role with our new consumer driven plans.

Provider Bulletins

The bulletins posted on this website were originally sent by email or mail to applicable participating facility and ancillary providers (e.g., hospitals, ambulatory surgical centers [ASCs], and durable medical equipment [DME] providers). Provider bulletins convey important information related to billing requirements, correlation tables, fee schedules, and other billing-related topics.

If you need a copy of a bulletin that was posted prior to 2006, please contact your network coordinator.

Bulletin # Publication date Subject Recipients
29-06 12/1/06 PDF icon January 1, 2007 Fee Schedule Changes — Revised Participating Hospitals in New Jersey
N/A 10/06 PDF icon Pricing for New DME HCPCS Codes Participating DME Providers in New Jersey
25-06 9/29/06 PDF icon Announcing FutureScriptsTM Our New Pharmacy Benefits Manager Participating Hospitals in New Jersey
N/A 9/29/06 PDF icon Skilled Nursing/Sub-Acute Facilities Site Visits Participating Skilled Nursing Facilities in New Jersey
N/A 9/29/06 PDF icon Billing Clarification: Polysomnography Participating Hospital-Based Sleep Study Centers in New Jersey
N/A 9/29/06 PDF icon Billing Clarification: Polysomnography Participating Freestanding Sleep Study Centers in New Jersey
N/A 9/29/06 PDF icon Announcing FutureScripts™ Our New Pharmacy Benefits Manager Participating Birth Centers, Freestanding ASCs, Lithotripsy Centers, Renal Dialysis Centers and Skilled Nursing Facilities in New Jersey
22-06 9/14/06 PDF icon October 1, 2006 Correlation Edit Update and Additions to the Fee Schedules Participating Hospitals in New Jersey
N/A 9/14/06 PDF icon October 1, 2006 Correlation Edit Update and Additions to the Fee Schedules Participating Freestanding ASCs in New Jersey
24-06 9/13/06 PDF icon Change in Criteria for the Review of Certain Durable Medical Equipment Case Management/Discharge Planning Departments of Participating Hospitals in New Jersey
23-06 9/11/06 PDF icon Second Request: National Provider Identifier Participating Hospitals in New Jersey
N/A 9/11/06 PDF icon Second Request: National Provider Identifier Participating Ancillary Providers in New Jersey
N/A 9/6/06 PDF icon Change in Criteria for the Review of Certain Durable Medical Equipment Case Management/Discharge Planning Departments of Participating Skilled Nursing Facilities in New Jersey
N/A 9/06 PDF icon Change in Criteria for the Review of Certain Durable Medical Equipment Participating DME Providers in New Jersey
N/A 9/06 PDF icon Pricing for New DME HCPCS Codes Participating DME Providers in New Jersey
N/A 8/30/06 PDF icon Pharmacy Insourcing Participating Ancillary Providers in New Jersey
N/A 8/30/06 PDF icon New Jersey Health Claims Act Participating Ancillary Providers in New Jersey
N/A 8/28/06 PDF icon New Visions Policy Admissions Directors, Case Management Departments, and Directors of Managed Care of Participating Hospitals in New Jersey
20-06 8/28/06 PDF icon InterQual® 2006 Criteria Participating Hospitals in New Jersey
N/A 8/28/06 PDF icon InterQual® 2006 Criteria Participating Skilled Nursing Facilities in New Jersey
18-06 8/28/06 PDF icon Billing Instruction Reminders: Multiple Surgical Procedures and Outpatient Services/Inpatient Admissions Participating Hospitals in New Jersey
13-06 6/23/06 PDF icon Non-Emergency Medical Ambulance Transportation Policy Case Management/Discharge Planning Departments of Participating ASCs, Renal Dialysis Centers, Skilled Nursing Facilities and Ancillary Providers in New Jersey
N/A 6/19/06 PDF icon New Revenue Codes for Part B Therapies for Wound Care Administrators and Business Office Managers of Participating Freestanding Skilled Nursing Facilities in New Jersey
N/A 5/19/06 PDF icon National Provider Identifier Participating Hospitals in New Jersey
N/A 3/30/06 PDF icon May 1, 2006 Fee Schedule Releases — Radiology, Pharmacy and Chemotherapy Business Office Managers of Participating Hospitals in New Jersey
N/A 3/30/06 PDF icon May 1, 2006 Correlation Edit Update Revision Business Office Managers of Participating Hospitals in New Jersey
N/A 1/31/06 PDF icon EDI Error Rejection — Rejected Claims Participating Hospitals in New Jersey
N/A 1/31/06 PDF icon AmeriHealth HMO Plus for Large Groups Participating Hospitals in New Jersey
N/A 1/16/06 PDF icon AmeriHealth 65 Plus Open Access POS Business Office Managers and Directors of Admissions and Outpatient Registration of Participating Hospitals in New Jersey