 |
March 2008
- REGISTERED USERS: Changes are coming
to ubhonline! At the end of April 2008, ubhonline will be consolidating
all online transactions
for both United Behavioral Health and PacifiCare Behavioral Health
members under a single set of online transactions. This enhancement
completes the integration of both UBH and PBH from a provider
portal perspective. At the time of this enhancement, ubhonline
registered
users will be presented with a single set of online transactions
that will function for all your UBH and PBH patients. This simplication
will streamline the online process and eliminate differences
in the transactions and how they work. Over time, we will phase
out
the old user IDs assigned from PacifiCare. Therefore, if you
do not have a ubhonline User ID, you will want to obtain one.
Please
use the Contact Us link if you have any questions or problems,
to contact the ubhonline Support Center via phone or Live Chat.
Thank you for your patience over this period of integration of
our portal functionality. We will continue to improve our service
to you in the future.
December 2007
- Attention PacifiCare Clinicians! Many authorizations issued by
PacifiCare Behavioral Health that were due to expire on 12/31/07
have been extended into 2008. Please review one of the letters
listed below for details:
- Letter for
clinicians practicing in Maine, Massachusetts, New Hampshire,
or Rhode Island
- Letter for
clinicians practicing in all other states
September 2007
- ATTENTION CLINICIANS SUBMITTING CLAIMS
VIA EDI OR ON PAPER: REMEMBER TO SUBMIT CLAIMS WITH A 5TH
DIGIT ON THE
DIAGNOSIS
CODE! UBH Claims Examiners have found that claims
are often denied payment because the 5th digit of the diagnosis
code has been omitted
from the claim form. Though not all diagnoses contain a 5th
digit, for those diagnoses that do, it should be included on
the claims
form. Without the 5th digit, the claim is automatically denied
by the UBH claims system. Consequently, the claim is returned
to you with the denial code “549.” So when you
are submitting claims electronically via EDI, or if you submit
on paper, please
include all five digits of the diagnosis code when submitting
claims for payment on either the UB facility or CMS 1500 forms.
This will
help to avoid future claim denials.
- Do you have patients with Spanish as
their primary language? Liveandworkwell’s new sister site MenteSana-CuerpoSano.com
(Healthy Minds-Healthy Bodies) provides Spanish mental health and
substance abuse information and resources. The Spanish site provides
resources to the public in addition to UBH members so you can refer
any Spanish-speaking patient to MenteSana-CuerpoSano.com. UBH members
may get additional resources with their company Access Code.
August 2007
- Look for the new patient-generated certification/approval
forms to save you time! UBH members can now self-generate
clinician visit certification/approval forms for both MHSA
and EAP benefits.
If they generate these documents at liveandworkwell.com and bring
them to you, it eliminates your need to obtain certification
for them. Advise your intake and scheduling staff to encourage
new UBH patients to do this and save you time and effort!
July 2007
- NEW! UBH and PBH Network Clinicians – you
will notice some changes to the login page and the main menu,
all in a continuing
effort to merge the UBH and PBH clinician sites together. We have
merged the individual login sites to a single sign on page, and
when you log in, you will notice changes to the main menu for both
sites, including an eligibility search that allows you to search
for both UBH and PBH members. As well, pre-populated Wellness Assessments
are now available!
May 2007
- UBH Network CLINICIANS! Avoid claim
denials for no certification! Always check the member’s benefit plan to see if certification
is required by checking Eligibility
and Benefits. If certification
is required, use the Certification Inquiry feature to make sure
one is on file before filing your claim. Otherwise, you can use
the Certification Request feature to request one for your patient.
Remember to allow 2-3 business days before filing your claim, to
ensure the certification is on file when the claim is processed.
- New UBH Member-Generated Clinician Visit
Certifications to Save Clinicians Time! UBH members are now able
to request and
print Clinician Visit Certifications from their UBH member website,
liveandworkwell.com. These certifications apply only for routine
outpatient behavioral health services by Network clinicians. When
a patient presents a Certification to you, you can accept it as
certification for treatment. You do not need to do another Certification
Request. Learn more
- UBH uses the United Behavioral Health
Level
of Care Guidelines to assist clinical decision-making
and coverage determinations. The
UBH Level of Care Guidelines are now utilized for
all UBH and PBH membership. If you have
not already done so, please take a moment to review them. Thank
you for your continued collaboration with United Behavioral Health
on behalf of our members.
April 2007
- We are pleased to announce the expansion
of our partnership with the Council for Affordable Quality
Healthcare (CAQH) to include
TEXAS and RHODE ISLAND! UBH now utilizes the CAQH
application process for initial credentialing in all states
except Maryland and
Minnesota. We will update you on plans to roll out CAQH to
these additional states in the near future. Find more information
about joining
the UBH network.
- New UBH Member-Generated Clinician Visit
Certifications to Save Clinicians Time! UBH members are now able
to request and
print Clinician Visit Certifications from their UBH member website,
liveandworkwell.com. These certifications apply only for routine
outpatient behavioral health services by Network clinicians. When
a patient presents a Certification to you, you can accept it as
certification for treatment. You do not need to do another Certification
Request.
March 2007
- UBH uses the United Behavioral Health
Level
of Care Guidelines to assist clinical decision-making
and coverage determinations. Effective
April 1, 2007, the UBH Level of Care Guidelines will be utilized
for all UBH and PBH membership. If you have not
already
done so, please take a moment to review them. Thank you for
your continued collaboration with United Behavioral Health
on behalf
of our members.
February 2007
- New Referral Process for PCPs to Behavioral
Health Clinicians in the Mid-Atlantic. Individual
Practice Association, Inc. (M.D. IPA) and Optimum Choice,
Inc. (Optimum Choice) have a new referral
policy to make it easier for physicians to refer their patients
for behavioral health services. Please review the physician
referral notification document and referral
form for additional information.
January 2007
- Claim information for CDPHP patients – Please
note that the correct P.O. Box number for mailing claims is
30760. So if
you are not filing claims electronically via ubhonline or an
EDI process, please mail claims to P.O. Box 30760, Salt Lake
City, UT 84130-0760.
December 2006
- We are pleased to annouce the expansion of
our partnership with the Council for Affordable Quality Healthcare
(CAQH) to include
North Carolina! UBH now utilizes the CAQH application process for
initial credentialing in all states except Maryland, Minnesota,
Rhode Island, and Texas. We will update you on plans to roll out
CAQH to these additional states in the near future. Find more information
about joining the UBH network.
November 2006
- Attention South Florida clinicians - UBH welcomes
Neighborhood Health Partnership (NHP) to the United Health
Group family of companies.
NHP serves the tri-county area of south Florida. Effective
November 1, 2006, NHP will be utilizing the UBH provider network
and UBH
care advocacy programs to manage the mental health and substance
abuse benefits for its 115,000 enrollees in Palm Beach, Broward
and Miami-Dade Counties. On January 1, 2007, another 10,000
enrollees in Miami-Dade are projected to come aboard as well.
Please refer
to your clients' health insurance card for the phone number
to call regarding mental health and substance abuse benefits.
Your
UBH contracted rates will apply to all NHP membership and normal
UBH procedures will prevail.
October 2006
- Attention clinicians
in NY: United
Behavioral Health (UBH) is pleased to announce a new clinical
model promoting high quality care and positive treatment outcomes. Learn more
September 2006
- Lousiana clinicians!! A CEU course addressing
the needs of helping professionals is being offered on October
7th
in Baton Rouge. The
course is called "R&R for Caregivers." For more
information, go to the Louisiana Counseling Association's web
site. From
the home page select the box "Need CEUs? Check the Calendar
of Events," then advance to the October calendar by clicking
the right arrow. For a link to the home page, click
here.
- Welcome MAMSI clinicians joining the UBH
Network! Click here for
more information.
August 2006
- UBH is looking for clinicians experienced
in providing disability assessments and treatment to enhance
our disability
specialty network in support of the Disability Solutions program.
Learn more
June 2006
- Beginning 8/1/06, our Care Advocates will
no longer be able to be reached via their direct, 10-digit
phone numbers that you
may be accustomed to, due to telephonic enhancements recently
employed at United Behavioral Health. In order to reach your
Care Advocate directly as of 8/1/06, you will need to dial our
new centralized access number, 800-548-6549, and then dial their
new 5-digit extension. If you are not provided with this 5-digit
extension prior to 8/1/06, you may dial your Care Advocate's
old telephone number and it will be electronically provided for
you. This new telephonic process will ultimately enable you to
reach your Care Advocate directly without having to navigate
through telephonic prompts. As always, thank you for your continued
support and we look forward to continued partnership with you.
May 2006
- We are excited to announce that we have expanded
our partnership with the Council for Affordable Quality Healthcare
(CAQH)! UBH
now utilizes the CAQH application process for initial credentialing
in all states except Maryland, Minnesota, North Carolina, Rhode
Island, and Texas. We will update you on plans to roll out CAQH
to these additional states in the near future. Find more information
about joining the UBH network.
- Cultural Diversity resources are now
available online! Learn more
April 2006
- SPRING 2006 NETWORK NOTES and regional updates to the Medica plan (for Medica Clinicians in MN, ND, SD and WI) are available! Learn more
March 2006
- UBH's Adoption and use of National Provider ID (NPI) Learn more
February 2006
- “Fly-Out” Menus make ubhonline even more user-friendly! We have incorporated the "resource center" menu into the navigation links found on the left side of the ubhonline pages. You will no longer find the "resource center" in the upper right corner of ubhonline pages. We did this to make it easier and faster to find things like forms, guidelines, and other resources you may need. It also helps you see more deeply into the details without actually navigating to the next page — saving you time. Now, by moving your cursor over the main headings on the left side of the page, you will find menus that "fly out" — giving you more details, much quicker, at your fingertips. Try it! We hope you find this navigation intuitive and user-friendly. We appreciate any comments or feedback through an e-ail to ubhonline@uhc.com or through our online survey comments.
- Transitioning Benefits from EAP to MH/ SA — For transition of benefits from EAP to MH/SA services, you may request an open certification online using our new Certification Request feature, providing convenient and faster processing. Or, you may print and complete the BTN form, found in our Forms pages, returning it by fax or mail as indicated on the form.
January 2006
- Attention Clinicians in the Midwest: In 2006, Midwest Security Insurance Companies is planning to migrate some of its fully insured members to the UnitedHealthcare networks to add enhanced customer access and choice for health care services in several Midwestern states, including Wisconsin, Indiana and Ohio. This migration is in addition to more than 13,000 third party administrator (TPA) members that Midwest Security has already moved to the UnitedHealthcare network. Your UBH-contracted network rates will be applied for all Midwest Security members accessing the UnitedHealthcare networks. Please refer to member ID cards for contact information for benefits and claims. You can also verify member eligibility, member status or claim status at www.mymidwestsecurity.com.
- Reminder: Definity Health is a United Family Partner - UBH is pleased to welcome all Definity Health customers to the United networks for 2006. Learn more
- Attention Georgia Network Clinicians -
On January 1, 2006, United Behavioral Health (UBH) began managing the Mental Health and Substance Abuse (MHSA) benefit for the Georgia Department of Community Health. If you have not received/reviewed the Benefit Guide or signed the Clinician Training Attestation form, you can locate this information via our guidelines/policies page.
- UnitedHealth Group Completes Merger With PacifiCare Health Systems, Inc. - We are pleased to announce that the merger between UnitedHealth Group and PacifiCare Health Systems has been formally completed, uniting two highly complementary organizations focused on creating greater choice, access and affordability in our markets. Full Article
Note: Adobe Acrobat Reader 3.0 or higher
is required to view and print PDF 
files. For help viewing files, refer to Adobe
Acrobat Reader information
|
