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Category: Utah Mental / Behavioral Health

Free Seminar: HIPAA for the Small Provider

Free Seminar: HIPAA for the Small Provider

The U.S. Department of Health and Human Services is offering a free seminar July 25, 2017 in Salt Lake City. At this seminar, you will learn valuable information about HIPAA privacy, security, and breach notification rules. Please click here for more information.

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 New Year!

Happy New Year!

As we begin this new year, DMBA wants to remind you that we launched our newly designed website on January 3, 2017. We invite you to visit our new website at www.dmba.com. The Providers section is now located under Related Sites. You can request a fee schedule, update your information, enroll to receive electronic funds transfers (EFT), and find other helpful information under Services. Best wishes for a healthy and successful 2017!

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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Applied Behavior Analysis (ABA) Therapy

Applied Behavior Analysis (ABA) Therapy

Effective September 1, 2016, all DMBA medical plans will cover ABA therapy for eligible dependents (through age 15) who are diagnosed with autism spectrum disorder, Asperger syndrome, or pervasive developmental disorder, not otherwise specified. This new benefit will not impact other therapy benefits. If additional therapies—such as speech therapy, occupational therapy, and physical therapy—are prescribed separately or as part of an ABA care plan, they will continue to be covered by the existing therapy benefit described in the participant’s medical plan. For more information, please contact DMBA…

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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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