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Changes in Notification of Approved Peer-to-peer Determination Letters for NaviNet-enabled Providers

We are changing the way we notify you of peer-to-peer authorization approvals related to Emergency Hospital Admissions.* Effective May 1, 2011, separate letters confirming an approval following a peer-to-peer discussion related to emergency admission will no longer be sent through the mail for most providers. Instead, the status regarding authorization requests will be available through the NaviNet^® web portal and the Provider Automated System. Written confirmation is also available through NaviNet.

*Please refer to your Hospital Agreement for the definition of an Emergency Hospital Admission.

For more information on this change, please read the complete article in the April edition of Partners in Health Update^SM.