Fraud Alert: Fake Fax Requests

The Centers for Medicare and Medicaid Services (CMS) and the Investigations Medicare Drug Integrity Contractor (I-MEDIC) have identified a fraudulent fax scheme targeting healthcare providers. 

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Updated Provider Relations Representatives

To better serve our providers and streamline communication, we have made updates to our representative territories. Please review the new Provider Relations Representatives Parish Map to ensure you're connected with the appropriate representative for any support or one-on-one trainings for your office.

Member Cost Share and Credit Card Fees

If you collect any amount above the copayment for covered services, you must refund the member the excess amount collected within 30 days of notification of the overpayment.

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Medical Policy Update

We regularly develop and revise medical policies in response to changing medical technology. Benefit determinations are made based on the medical policy in effect at the time of the provision of services. Please view the following updated and new medical policies, all of which can be found on our Provider page at www.lablue.com/providers, under “Medical Management,” click “Medical Policies.”

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