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Ukuphazamiseka Kwesevisi Yenethiwekhi ye-CHC
I-Optum Change Healthcare (CHC) ibhekene nokuphazamiseka kwesevisi yenethiwekhi ngenxa yenkinga ye-cybersecurity. Ngenxa yalokho, noma yimuphi umhlinzeki osebenzisa i-CHC akakwazi ukwenza imisebenzi ye-elekthronikhi njengokuhambisa izicelo noma ukuqinisekisa ukufaneleka kwelungu. Amathimba ethu asebenzela ukunciphisa imithelela futhi avikele amanethiwekhi ethu. Funda kabanzi lapha

Abahlinzeki bethu

Silwela ukunikeza ulwazi nezinsiza oyidingayo ukuze uqinise umkhuba wakho futhi ekugcineni, uqinise imiphumela yezempilo yeziguli.

Bhalisa Ukuze Uthole Ama-imeyili Ethu

"*"kukhombisa izinkambu ezidingekayo

Igama*
Uhlu Lokubhaliselwe (Hlola konke okusebenzayo)*

Uhlelo Lwethu Lokuphela Kwe
Ukusabalala Okuqhubekayo

NgoJanuwari 2020, uMnyango Wezempilo Nezinsizakalo Zabantu wase-US (HHS) uphendule ubhubhane lwe-COVID-19 ngokumemezela isimo esiphuthumayo sezempilo yomphakathi (PHE). I-Congress yaphasisa umthetho wokuqinisekisa ukuthi noma ubani obhalisele i-Medicaid (i-Health First Colorado (uhlelo lwe-Colorado Medicaid) e-Colorado), kanye nezingane kanye nabantu abakhulelwe ababhalise kuHlelo Lomshuwalense Wezempilo Wezingane (Uhlelo Lwezempilo Lwezingane). plus (CHP+) eColorado), baqinisekiswa ukuthi bazogcina ukuvikeleka kwabo kwezempilo ngesikhathi se-PHE. Lena yi- imfuneko yokufakwa okuqhubekayo. ICongress isanda kudlulisa umthethosivivinywa oqeda imfuneko eqhubekayo yokufakwa entwasahlobo ka-2023.

Uhlelo olusha lwezimangalo/lokukhokha

Kusukela ngomhlaka-1 Novemba, sishintshe uhlelo lwethu lwezimangalo lwaba yi-HealthRules Payor (HRP). Lolu hlelo olusha luzokwenza ukucubungula izimangalo kusebenze kahle. Njengengxenye yalolu shintsho, siphinde sasebenza ne-PNC Healthcare ukuhlinzeka ngezindlela ezintsha zokukhokha nge-elekthronikhi ngesevisi yabo ye-Claim Payments & Remittances (CPR), enikwa amandla i-Echo Health, ngezinsuku zesevisi eziqala ngoLwesibili, Novemba 1, 2022. Ukuze uqinisekise inkokhelo esheshayo. , sicela uthumele izimangalo zakho zika-Okthoba noNovemba ngokuhlukana lapho kungenzeka.

Chofoza lapha ukuze ubone izinketho zokukhokha ezintsha.

Uma unemibuzo mayelana nalolu shintsho, sicela uxhumane nomnikezeli wakho wezinsizakalo zenethiwekhi ngokuqondile noma uthumele i-imeyili kuye providernetworkservices@coaccess.com.

Imininingwane ye-COVID-19

Sifuna wazi nganoma yiziphi izinguquko zezinzuzo zelungu ezivela ku-COVID-19.

Ukuze ufunde kabanzi mayelana nezinzuzo, ukuhlolwa, ukwelashwa, kanye nokuthola ukunakekelwa kwezempilo phakathi nobhadane lwe-COVID-19, sicela uvakashele:

Ukwandiswa kweKit Carson County

I-Friday Health Plans (FHP) ayiluvuseleli Uhlelo lwazo Lwezempilo Yezingane plus (CHP+) inkontileka, ephela ngoJuni 30, 2022. I-FHP izophuma ohlelweni lwe-CHP+ ngalolu suku. Kusukela ngomhlaka-1 Julayi 2022, sizoba yi-CHP+ Managed Care Organization (MCO) entsha ye-Kit Carson County. Amalungu akulesi sifunda abhaliswe ne-FHP azothuthela ku-CHP+ MCO yethu ngokusekelwe kuzinkombandlela ezijwayelekile zokubhalisa.

Ithimba lethu lezinkontileka lisebenzela ukuthola abahlinzeki be-FHP abanenkontileka nathi ngokushesha ngangokunokwenzeka. Ukuqala le nqubo, noma uma unemibuzo, sicela usithumele i-imeyili ku provider.contracting@coaccess.com. Ithimba lethu labahlinzeki bezinkontileka lizokuqondisa ngesicelo, inkontileka, nenqubo yokuqinisekisa. Ukwenza inkontileka nokuqinisekisa kungathatha izinsuku ezingama-60 kuye kwezingama-90. Chofoza lapha ukuze ufunde kabanzi mayelana nokujoyina inethiwekhi yethu yabahlinzeki.

Ukubuyekezwa kwezindleko nokukhokha

Wonke amasevisi akhokhiswayo kufanele abe nesilungisi esisebenzayo. Sicela uqaphele ukuthi amasevisi amaningi angaba nesiguquli esisebenzayo esingaphezu kwesisodwa, futhi zonke kufanele zifakwe ukuze isimangalo sikhokhwe.

Sicela uqaphele ukuthi zonke izilungisi nezimfuneko zibalwe kubhukwana lekhodi elingatholakala ku-Department of Health Care Policy and Financing (HCPF) iwebhusayithi. Uma uthumela izimangalo zakho ngendlu ehlanzekile, sicela uxhumane nendlu yakho ehlanzekile ukuze ubuze ukuthi iziphi izinkambu ku-software yazo ongafaka kuzo isilungisi(izi)guquli esizoxhumana ne-“Box 24D” yefomu le-CMS1500 esizolithola.

Sicela uthumele i-imeyili kumnikezeli wakho omele amasevisi enethiwekhi enemibuzo mayelana nale mfuneko. Sicela uthinte providernetworkservices@coaccess.com uma ungamazi omele umhlinzeki wakho wenethiwekhi owabelwe njengamanje.

I-Almost Home Inc.

Spring 2022

Iphrojekthi ye-Delores

Spring 2022

Isikhungo Socwaningo Lwemiphakathi Yasemakhaya

Spring 2022

I-Adelante Familias/Phambili Imindeni

Spring 2022

IGreen Valley Ranch Medical Clinic & Nokunakekelwa Okuphuthumayo

Spring 2022

Umanyano weCommunity Partner- I-Colado ye-Phansi Yabelwe

Ubusika 2022

I-Community Partner- Isikhungo Sokuhlala Izindlu

Summer 2018

I-Community Partner- Isikhungo Sokubalekela Imbulunga Yomhlaba

Summer 2018

Ukunakekelwa Okuhlanganisiwe

Summer 2018

Imibuzo evame ukubuzwa njalo

Ngithola kanjani i-Synagis yeziguli zami?

Gcwalisa ifomu lokugunyazwa langaphambili le-Synagis kanye nefeksi ku-Navitus ku-855-668-8551. Uzothola ifeksi ekhombisa ukugunyazwa noma ukwenqatshwa kwesinqumo sokugunyazwa kwangaphambili okwenziwe. Uma isicelo sivunyiwe, i-oda ngefeksi ye-Synagis iye e-Lumicera Specialty Pharmacy ku-855-847-3558. Uma ufisa ukuba nesikhungo sezempilo sasekhaya esiqondise i-Synagis esigulini sakho, sicela ubonise ukuthi umuthi uzothunyelwa ekhaya lesiguli nge-oda lakho. Lapho ithola i-oda le-Synagis elibonisa ukuthi imithi izothunyelwa ekhaya lesiguli, i-Lumicera izofeksa isicelo sezempilo sasekhaya ethimbeni le-Colorado Access utilisation management (UM) ukuze limise izinsizakalo. Ithimba lethu le-UM lizosebenzela ukusungula i-ejensi yezempilo yasekhaya ezovakashela ikhaya lesiguli futhi inikeze imithi.

Ingabe i-Synagis ihlanganiswe yi-Colorado Access?

I-Synagis ihlanganiswe iziguli ezifanelekile ngokusebenzisa inzuzo ye-Pharmacy Access Pharmacy. Izindlela eziqondile zokuvunyelwa zingatholakala lapha. Amafomu okugunyazwa kwangaphambi kufanele afakwe ngefeksi ku-Navitus ku-855-668-8551.