Contracted practitioners and providers (collectively contracted providers) will be listed in the health plan and ASH's directories, as well as, online. Members are encouraged to seek services from contracted providers as they will have lower out-of-pocket expenses. Remember, these new patients will also refer by word of mouth to friends and family.
Yes, ASH will focus on providing specialty health benefits for:
Because each health plan is different and each has unique requirements, we provide a document called a Client Summary for each of our health plan clients. The Client Summaries are information sheets that define the requirements of each health plan. They will give you information such as:
Medical necessity verification decisions are evaluated against established clinical guidelines supported by credible scientific evidence that meets industry standard research quality criteria, and is adopted by an ASH clinical peer-review committee. Additional information about ASH's Medical Necessity Review process can be found on our public portal
by searching for
Medical Necessity Review
When developing Clinical Practice Guidelines (CPGs) ASH evaluates current peer-reviewed research literature, generally accepted standards of practice, and existing practice parameters. ASH CPGs provide the evidence base from which peer-reviewers evaluate the quality, quantity, and appropriateness of services proposed or billed. ASH has reviewed the scientific literature and developed over 130 Clinical Practice Guideline documents, which are published on our public website,
, and are available by searching for
Clinical Practice Guidelines
. ASH obtains initial and annual review and approval of CPGs by ASH's clinical committees, consisting of practicing, participating clinicians.
Yes. ASHLink is our online portal. ASHLink is a free, secure and confidential dynamic website available to contracted providers. On ASHLink you can access information and conduct business online, saving time verifying member eligibility and submitting forms and claims. By using ASHLink to submit claims you can receive payments quickly and efficiently, while increasing office revenues and lowering overhead costs. An incentive is also available when a least 50 percent of your transactions are processed through ASHLink.
Other resources available on ASHLink include:
Yes. Our Direct Deposit program provides a faster way to receive payment and access to your funds. Our turn-around-time is typically 4 days or less with the payment deposited directly to the bank account of your choice.
Other benefits of Direct Deposit include:
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