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Category: Utah Facilities

Join DMBA at a 2018 Provider Education Summit Near You

Join DMBA at a 2018 Provider Education Summit Near You

It’s time to register for the 2018 Provider Education Summit (formerly the Provider Education Fairs). This free workshop is a collaboration between multiple healthcare organizations. We’ll feature a wide range of engaging subjects, including the ever popular payer panel. Last year’s events attracted more than 350 attendees, including billers, coders, and office managers from across the state. The events will be held in four locations—Salt Lake City, Ogden, Provo, and St. George—to offer providers from all areas of Utah the opportunity…

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E-prescribing data accessible through EMR systems

E-prescribing data accessible through EMR systems

Do you know about e-prescribing (electronic prescribing)? E-prescribing technology enables secure, bi-directional, electronic connectivity between physician practices and pharmacies. With e-prescribing, prescribers can send prescriptions to a participating pharmacy electronically instead of writing, faxing, or calling them in. Our providers have access to e-prescribing data through EMR systems. E-prescribing provides potential benefits: Improved legibility of prescriptions with reduced variation in the quality of prescribing Fewer prescribing errors, thus reducing potential adverse drug events Shorter wait times for members collecting their medications from…

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Preauthorization Guidelines and Forms Online

Preauthorization Guidelines and Forms Online

DMBA preauthorization guidelines and forms are now available on our website. Go to www.dmba.com and select Providers from the Related Sites dropdown menu. The preauthorization documents are located in Services menu. And for your convenience, they’re even fillable!

Happy Holidays!

Happy Holidays!

The holidays are a time to reflect on the accomplishments and events of the past year and those who made a difference in our lives. This holiday season, DMBA would like to express deep gratitude for the exceptional service and care you’ve provided to our participants. You made a difference! We sincerely appreciate our partnership and look forward to our continued association with you. Best wishes for a wonderful holiday season and a very happy new year.

EDI Transactions: National Standards Save Time and Money

EDI Transactions: National Standards Save Time and Money

National standards for electronic healthcare transactions can save time and money. DMBA offers standard electronic transactions to providers upon request, including the following commonly used transactions: Eligibility and benefits inquiries and responses (270/271) Claims submission (837) Claims status inquires and responses (276/277) Electronic remittance advice and funds transfer (835)* * Enroll online at www.dmba.com.

Important Information About ICD-10 Unspecified Codes

Important Information About ICD-10 Unspecified Codes

At DMBA, we follow ICD-10 processing guidelines established by the Centers for Disease Control for “header codes” and “codes valid for HIPAA transactions.” Based on these guidelines, we must deny claims that use header codes. While these unspecified codes may be valid for billing HIPAA transactions, they don’t meet the appropriate level of specificity for supporting medical necessity. After last year’s implementation of ICD-10, DMBA offered a one-year courtesy grace period, allowing payment for claims billed with unspecified codes. Starting…

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DMBA Provider Blog to Replace Provider Update Newsletter

DMBA Provider Blog to Replace Provider Update Newsletter

It’s baseball season, so we’re throwing you a changeup. New information for providers will no longer be sent through DMBA’s Provider Update Newsletter. We’re replacing the newsletter with the DMBA Provider Newsflash blog. Soon we’ll send an email to our contracted providers notifying them they can subscribe to the blog to read the latest information from DMBA. We want our communication with our contracted providers to continue going as smoothly as possible, so you may want to complete a Provider Update Request on the Providers section…

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DMBA Provider Applications and Credentialing Go Paperless

DMBA Provider Applications and Credentialing Go Paperless

DMBA has implemented a new online provider application and credentialing program. We no longer accept paper applications. A Provider Application Request must be submitted from the Providers section of our website at www.dmba.com. We’ll review this request to determine if we need to add additional providers in that specialty to our network. If the request is approved, a link to our online Provider Application will be emailed to the provider. All of our credentialing and recredentialing are now done online as…

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ICD-10 Standards Compliance: Helpful Points to Keep in Mind

ICD-10 Standards Compliance: Helpful Points to Keep in Mind

Please remember that DMBA follows industry standards, including the ICD-10 (International Classification of Disease, 10th Edition) standards published by the Utah Health Information Network (UHIN). You may view this and other valuable information about ICD-10 on UHIN’s website at www.uhin.org/icd-10. Please keep in mind the following points when submitting claims to DMBA: DMBA follows the Centers for Disease Control and Prevention (CDC) guidelines regarding the processing of header codes and codes valid for HIPAA transactions. Claims with header codes will…

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