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Provider Pulse: December

Provider Pulse

December 2017

Welcome to December

The holiday season is officially here! We hope that no matter what you celebrate, you have a wonderful season filled with friends, family, and yummy treats. This month, we have a couple of important updates for you, the biggest being that our Provider Portal is transitioning to a new platform called Availity. Make sure to read about it below, and again, Happy Holidays!

In This Edition:

IMPORTANT! TriWest Provider Portal Moving

As of Nov. 15, 2017, TriWest Healthcare Alliance began transitioning its Provider Portal to a new platform called Availity.

We encourage you to visit www.availity.com/triwest to learn more about this transition and register for training.

If you do not have an existing account with Availity, you will need to register to continue accessing your TriWest information in the future via the new TriWest Payer Space.

If you already use Availity for other payers, you will be able to add TriWest to the health plans you manage through Availity, once the TriWest Payer Space is fully functional.

What Does This Transition Mean?

The current TriWest Provider Portal at www.triwest.com/provider will eventually be discontinued. In the meantime, it will remain active while providers begin using the TriWest Payer Space on Availity instead.

Right now, providers can access the TriWest Payer Space, as well as update their data within Availity, such as phone numbers and addresses. Eventually, Availity will offer a more robust experience than the current TriWest Provider Portal.

Benefits of Switching to Availity

Availity is a platform that providers can use to manage the full spectrum of health care, from the administrative aspect, to the clinical and financial aspects. TriWest chose Availity for the many benefits it offers:

Get Training, Get Registered, Get More Information

Visit www.availity.com/triwest to register for an account, learn more about this transition, access FAQs, and get trained on the new Availity platform.

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Remember: Submit Outstanding Claims by Feb. 1, 2018

As of Feb. 1, 2018, TriWest will no longer accept Patient-Centered Community Care (PC3) or Veterans Choice Program (Choice) claims with a date of service (DOS) prior to June 30, 2017

This is the third phase of TriWest’s process for re-aligning claims to the 180-day timeframe. If you have outstanding claims, please submit these as soon as possible.

Claims denied for timely filing cannot be billed back to the Veteran or the Department of Veterans Affairs (VA).

Overall, the sooner you submit your claims, the better! Submitting claims within TriWest’s suggested 30-day timeframe helps VA in monitoring budget and utilization. It also reduces carrying costs for your practice and improves cash flow.

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NEWS BULLETIN: TriWest Boarding Health Care Tech Train

From filling prescriptions online to appointment reminders via text, technology is changing the way health care is managed.

And TriWest is getting on board.

According to the University of Phoenix College of Health Professions, the five most utilized health care technologies from the past year are:

  1. Text message appointment reminders: 28 percent
  2. E-prescription filling services: 26 percent
  3. Online access to health records: 25 percent
  4. Online appointment booking services: 15 percent
  5. Online chat capabilities: 5 percent

The university obtained this data from a survey it conducted of 2,201 adults using online interviews.

TriWest Jumping on the Tech Train

TriWest has not turned a blind eye to the rush of technology demands for managing health care, either.

In November, the company began transitioning its Provider Portal to a multi-payer online platform called Availity. The new TriWest Payer Space on Availity will eventually allow providers to submit claims online, access aspects of their Veterans’ online health records (such as authorizations), and manage their office data, such as updating phone numbers and billing addresses.

In the future, TriWest also plans to launch additional features such as online chat, appointing via apps, and text messaging.

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