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Provider Digest | Volume 115

Date: 03/13/24

Availity to Host Live Training Webinars for Providers

As you may be aware, the ability to electronically submit claims to Trillium, Health Net and Wellcare through Change Healthcare is currently unavailable due to a cybersecurity incident that impacted its network and operations with no timeline for resolution. Availity, our preferred clearinghouse partner, is ready and available to help providers to enroll and begin submitting claims. They are offering several live training webinars for providers to get started with Availity Essentials.

Webinar registration is easy via the Availity Essentials Provider Portal. Providers must be enrolled with Availity Essentials to access webinars. Step-by-step instructions for Availity Essentials enrollment can be found on the Availity Lifeline website.

Live Webinar: Use Availity Essentials to Submit Professional Claims
Join Availity to explore using the Claims and Encounters application on Availity Essentials. In this 75-minute webinar, providers will learn how to:

  • Get access and explore form options
  • Save entry time including shortcuts when entering provider, patient, and code details
  • Use key features that include options for submitting COB claims, corrected claims, and adding attachments
  • Take important steps to follow up after you submit claims
  • Navigate help, training and support tools

An expert Availity Essentials application trainer will also guide providers through key insights about the application and provide a downloadable quick-tips PDF that they can save to use later.

Upcoming webinar dates:

  • March 14 – 7:00 a.m.
  • March 15 – 7:00 a.m. 
  • March 19 - 7:00 a.m.

Live Webinar: Getting Started with Electronic Data Interchange (EDI) on Availity Essentials
Join Availity experts to learn about Electronic Data Interchange (EDI) on Availity Essentials. This webinar will cover:

  • How to access the Availity EDI Companion Guide
  • Availity payer list
  • EDI reporting preferences
  • Manage your file transfer protocol (FTP) mailbox
  • Send and receive EDI files
  • EDI response files
  • Help and support resources

Upcoming webinar dates:

  • March 13 – 12:30 p.m. 
  • March 14 – 11:30 a.m. 
  • March 15 – 11:00 a.m.

Registration: Webinar registration is easy via the Availity Essentials Provider Portal.

Thank you for your continued partnership as we navigate the Change Healthcare outage. If you have any questions, please contact your Provider Engagement representative or our Provider Services team at:

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Reminder: Lane County Trillium Medicaid Behavioral Health Provider Availability Survey

In the Lane County CCO region, Trillium Behavioral Health has transitioned from monthly phone calls to an online survey to assess provider availability and your program openings. This will streamline the process for you as well as ensure we are able to provide members with the most accurate provider information. You should expect to receive the survey link via email on the first Monday of every month.

As always, we deeply appreciate the valuable work that you are doing for our Trillium members and our community at large. At the top of each survey, you will find contact information for Emma St. Clair and Erinn Stevens. Please reach out to both of them directly if you have any questions or concerns. We look forward to partnering with you on this new process!

Complete the Lane County Trillium Behavioral Health Provider Availability Survey

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Responses Due July 15, 2024: Trillium Medicaid Bi-Annual Capacity Review

Have you completed the Trillium Provider Capacity Survey yet?
Oregon Health Authority (OHA) requires Trillium to report in-network provider capacity on a bi-annual basis to ensure members in our communities have access to high-quality healthcare. The survey is only four questions and takes  approximately 2 minutes to complete.

Please take the survey by July 15, 2024.

Thank you for your partnership in helping our members stay healthy!

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Health Evidence Review Committee Listening Session OHP Prioritized List

The Health Evidence Review Commission (HERC) staff will hold a listening session for ideas and concerns related to coverage of health services on the Prioritized List. 

The priority for this meeting is to hear from Oregon Health Plan (OHP) members and their caregivers and providers:

If you have any questions, please contact HERC.Info@oha.oregon.gov.

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Celebrate Certified Nurses Day™ on March 19!

Certified Nurses Day™ is an annual day of recognition for and by healthcare leaders dedicated to nursing professionalism, excellence, recognition, and service. Certified Nurses Day™ is celebrated every March 19, the birthday of Dr. Margretta "Gretta" Madden Styles, RN, EdD, FAAN, a leader in the field of nursing certification.

Trillium, Health Net and Wellcare value our provider partners and the care they provide for our members every day.

Learn more and download a free Certified Nurses Day™ Resource Toolkit 

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Free CEUs for Active Health Care Interpreters

Oregon Health Care Interpreters Association (OHCIA) is offering 100% scholarships to active health care interpreters on the state registry whose credentials are expiring in 2024 and who are in need of the Continuing Education Units (CEUs) to renew their credentials and avoid losing them altogether.

If you are selected to receive financial assistance, OHCIA will contact you directly.
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Healthy Birth Initiatives Community Action Network Meeting

The Community Action Network (CAN) empowers community members to be involved in policy processes by engaging in advocacy and activism for the needs of Black families.

At this upcoming meeting, you'll learn about the Baby Boosters Lease Up program and vote for the CAN's 2024 priorities.

  • March 20, 2024, 11 a.m.-12:30 p.m.
  • NE Health Center at 5329 NE MLK Blvd, Conference Room B (first floor) or join Zoom Meeting
    • Meeting ID: 990 5399 9523
    • Passcode: HBIcan24!

View flyer (PDF)
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