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Spring-Summer 2021 I n This I ssue: VIVA HEALTH Partners with North Alabama Managed Care Inc. (NAMCI) to Expand its Network of Participating Providers Covid-19 Fraud Waste and Abuse Third Party Administrators Medicare Pharmacy Update: Save Time with Electronic Drug Prior Authorization VIVA MEDICARE and the CMS Medicare Star Ratings Program CMS Star Ratings and the Medicare CAHPS Survey Star Measure Brief: (HEDIS) Osteoporosis Management in Women Who Had a Fracture (OMW) Pharmacy Coverage Determinations Provider Portal - Account Management Participating Lab Usage Provider Portal Setup EFT Availability Holiday Schedule Voice

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Spring-Summer 2021

In This Issue:

• ViVa HealtH Partners with North Alabama Managed Care Inc. (NAMCI) to Expand its Network of Participating Providers

• Covid-19 Fraud Waste and Abuse

• Third Party Administrators

• Medicare Pharmacy Update: Save Time with Electronic Drug Prior Authorization

• ViVa Medicare and the CMS Medicare Star Ratings Program

• CMS Star Ratings and the Medicare CAHPS Survey

• Star Measure Brief: (HEDIS) Osteoporosis Management in Women Who Had a Fracture (OMW)

• Pharmacy Coverage Determinations

• Provider Portal - Account Management

• Participating Lab Usage

• Provider Portal Setup

• EFT Availability

• Holiday Schedule

Voice

Viva Health Partners with North Alabama Managed Care Inc. (NAMCI) to Expand its Network of Participating ProvidersViVa HealtH has partnered with North Alabama Managed Care, Inc. (NAMCI) to add NAMCI’s 4,500 contracted providers to ViVa HealtH’s network. ViVa HealtH already contracts with more than 10,000 providers statewide, but the addition of NAMCI solidifies ViVa HealtH’s presence in North Alabama. This expanded network is available to ViVa Medicare members as well as members in most ViVa HealtH plans offered by employers.

The ViVa HealtH-NAMCI affiliation is an outgrowth of a partnership announced early in 2020 between Huntsville Hospital Health System and the UAB Health System. That partnership seeks to improve health care in Alabama. The two organizations introduced new health insurance options for seniors and others with Medicare in North Alabama for 2021 through ViVa Medicare, a sister company of UAB Health System. Starting this year, ViVa Medicare began offering three new Medicare Advantage plans to Medicare recipients in Limestone, Madison, and Morgan counties.

Whether the employer is a small startup with a handful of employees or a large, self-funded employer, ViVa HealtH also has employer plans designed to meet all needs. Dedicated, experienced account representatives make the administration of benefits for employers as simple as possible, and our medical management programs seek to ensure that members receive the quality health care they need in the most efficient, timely, and cost-effective manner.

For more information about ViVa HealtH, please call 800-294-7780 or visit www.vivahealth.com.

For more information about NAMCI please, call 256-532-2755 or visit www.namci.com.

COVID-19 Fraud Waste and AbuseDuring the COVID Public Health Emergency, it seems coding changes are occurring on a daily basis, making it very difficult to know what Current Procedural Terminology (CPT) code and/or Healthcare Common Procedural Coding System codes (HCPCS) to bill. Below are a couple of inappropriate billing issues identified relating to COVID-19 billing:

• A specimen collection for the COVID test (HCPCS code G2023) should not be billed along with an evaluation and management service (Office Visit) by a medical provider. The specimen collection is included with the E/M service. In addition, HCPCS code G2023 should only be billed by independent labs.

• When billing for the COVID-19 testing, only one E/M code should be billed for the testing and member notification of the test results. The notification is included in the initial E/M code when the test was conducted.

• We suggest you review your claims filing to insure the issues are not occurring within your claims. If you have any questions, please contact Provider Customer Service at 205-558-7474.

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Third Party AdministratorsViVa HealtH is no longer providing claim status to Third Party Administrators (TPAs) via fax. Participating ViVa HealtH providers have two options which will allow their TPAs to continue to gather claim information on their behalf. 

1. Provider Portal Access: The ViVa HealtH provider designates an employee to serve as the Portal-Administrator for access to the providers data. The Portal-Administrator will be responsible for either assigning the TPA Admin rights or creating End-User accounts for the TPA group responsible for verifying claim status. The Admin will also be responsible for reactivating and deactivating all End-User accounts.

2. Electronic Claim File: The ViVa HealtH provider can contact ViVa and request electronic claim files for the purpose of providing claim status to their TPA. Requests for electronic claim files can be sent to [email protected].

If you have any questions regarding this change, please contact Provider Customer Service directly at at 205-558-7474. For complete instructions on how to access the ViVa HealtH Provider Portal and how to establish access for your TPA please visit www.vivaprovider.com.

Medicare Pharmacy Update: Save Time with Electronic Drug Prior AuthorizationViVa Medicare is pleased to announce an enhancement to our Part D prescription drug utilization review process. We now have an electronic prior authorization (ePA) solution that is HIPAA compliant and convenient for providers and their staff.

Prescribers can access ePA via the Cover-My-Meds portal or Surescripts, which are integrated with many electronic health records or clinical (EHR) vendors. This process coordinates the clinician, ViVa Medicare, and the pharmacy to easily initiate and complete prior authorizations. Many PA requests will receive approval within minutes, while others may require additional clinical information for review. Our current ViVa Medicare Pharmacy Benefit Manager, CVS Caremark, reports that members are filling prescription up to two days faster when their prescriber consistently uses ePA.

As you prescribe, writing for up to 90 day supplies on maintenance medications is also beneficial to your patients. Some of the ways that 90 day supplies may help your patients include:

• Saving money: Some members pay the same copay for a 90-day supply as they would for a 30-day supply.

• Fewer trips to the pharmacy: This is helpful when transportation is a challenge.

• Improved adherence rates: This allows the patient to have more medication on hand and have fewer gaps in therapy.

ViVa Medicare also has prescription drug home delivery through mail order available. This is especially helpful for members who have transportation challenges or problems remembering to refill medications on time. You can send a new 90-day prescription to CVS Caremark Mail Service or have your ViVa Medicare patient call 1-866-788-5146.

Please tell your ViVa C4Q nurse or have the member call Medicare Member Services at 1-800-633-1542 to refer your patient to our pharmacy team to work with them on any drug adherence challenges. A pharmacist or pharmacy technician will reach out to the member and help the member get set up with mail order if desired or help address other challenges or drug counseling needs.

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Viva Medicare and the CMS Medicare Star Ratings ProgramThe CMS Medicare Advantage Star Ratings program evaluates the relative quality of health plans that offer services to Medicare beneficiaries. CMS scores health plans on a one-to-five-star rating system. Five stars represents the highest quality a plan can achieve.

Prospective beneficiaries can use this rating system to gauge a plan’s ease of access to care, provider responsiveness, and current members’ satisfaction with the plan, among other things. The Star Ratings program helps members make informed decisions about their health care plans, and it allows the health plans themselves to provide richer benefits and promote higher quality of care through revenue incentives for high performance. As a 4.5 Star-rated plan, ViVa Medicare recognizes the critical importance that providers play in our Star Ratings success.

The quality measures that CMS includes in the Star Ratings program change each year. Below is a list of the current “Star Measures” included in the 2023 Star Ratings based on the 2021Measurement Period.

Clinical Quality - Star Measure List (Jan - Dec 2021 Measure Period)

HEDIS Measures Source Stars Weight

ViVa Medicare Goal Rate

Breast Cancer Screening: The percentage of women 50–74 years of age who had a mammogram to screen for breast cancer.

Claims 1 80%

Care of Older Adults: The percentage of adults 66 years and older who had a documented Medication Review.

Claims and Records

1 98%

Care of Older Adults: The percentage of adults 66 years and older who had documented Pain Screening.

Claims and Records

1 97%

Colorectal Cancer Screening: The percentage of adults 50–75 years of age who had appropriate screening for colorectal cancer.

Claims and Records

1 85%

Comprehensive Diabetes Care: The percentage of adults 18–75 years of age with diabetes (type 1 and type 2) who had Blood Sugar Controlled HbA1c ≤ 9.

Claims and Records

3 87%

Comprehensive Diabetes Care: The percentage of adults 18–75 years of age with diabetes (type 1 and type 2) who had a retinal Eye Exam.

Claims and Records

1 85%

Comprehensive Diabetes Care: The percentage of adults 18–75 years of age with diabetes (type 1 and type 2) who had Kidney Disease Monitoring.

Claims and Records

1 98%

Controlling High Blood Pressure: The percentage of adults 18–85 years of age with hypertension and whose BP was Under Control (<140/90 mm Hg).

Claims and Records

1 76%

Medication Reconciliation Post Discharge: The percentage of discharges for adults 18 years of age and older who had medication reconciliation within 30 days after discharge.

Claims and Records

1 82%

Osteoporosis Mgmt in Women with Fractures: The percentage of women 67–85 with a fracture and a BMD test or prescription to treat osteoporosis in the six months after fracture.

Claims 1 76%

Statin Therapy in Pts with Cardiovascular Disease: The percentage of males 21–75 and females 40–75 with ASCVD who were dispensed at least one high-or-moderate-intensity statin drug.

Claims 1 85%

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PQA (Part D) Measures Source Stars Weight

ViVa Medicare Goal Rate

Adherence to Cholesterol Medications: The percentage of members who fill their prescriptions often enough to cover 80% of the time they are supposed to be taking them.

Drug Claims 3 89%

Adherence to Diabetes Medications: The percentage of members who fill their prescriptions often enough to cover 80% of the time they are supposed to be taking them.

Drug Claims 3 87%

Adherence to Hypertension Medications: The percentage of members who fill their prescriptions often enough to cover 80% of the time they are supposed to be taking them.

Drug Claims 3 90%

Statin Use in Persons with Diabetes: The percentage of members who were dispensed at least one statin medication of any intensity.

Drug Claims 1 86%

Patient Surveys and Satisfaction - Star Measure List (CAHPS: Q3-Q4 2021 Patient Experience. Survey is Fielded Q1-Q2 2022)

(HOS: 2020-2021 Patient Outcomes. Survey is Fielded Q3 2021)

CAHPS Measures Source Stars Weight

ViVa Medicare Goal Rate

Annual Flu Vaccine: The percentage of surveyed members who say they received an influenza vaccination after July 1.

Annual Survey 1 76%

Care Coordination: A composite survey measure is used to assess how well the Health Plan coordinates member's care.

Annual Survey 4 87% (positive responses)

Customer Service: A composite survey measure is used to assess how easy it is for members to get information and help from the Health Plan when needed.

Annual Survey 4 93% (positive responses)

Getting Appointments and Care Quickly: A composite survey measure is used to assess how quickly the member was able to get appointments and care.

Annual Survey 4 79% (positive responses)

Getting Needed Care & Seeing Specialists: A composite survey measure is used to assess how easy it was for a member to get needed care, including care from specialists.

Annual Survey 4 86% (positive responses)

Getting Needed Prescription Drugs: A composite survey measure is used to assess how easy is it for members to get the prescription drugs they need using the Drug Plan.

Annual Survey 4 92% (positive responses)

Rating of Drug Plan: Surveyed members rate their view of the quality of the Drug Plan on a scale from 0-10.

Annual Survey 4 88%

Rating of Health Care Quality: Surveyed members rate their view of the quality of care received through the Health Plan on a scale from 0-10.

Annual Survey 4 87%

Rating of Health Plan: Surveyed members rate their view of the quality of the Health Plan on a scale from 0-10.

Annual Survey 4 90%

* Positive Response (CAHPS) = "Always" or "Usually"

HOS Measures Source Stars Weight

ViVa Medicare Goal Rate

Improving or Maintaining Mental Health: The percentage of surveyed members 65 years of age or older whose mental health status was the same or better than expected after two years.

Annual Survey (Cohort-based)

3 70% (positive responses)

Improving or Maintaining Physical Health: The percentage of surveyed members aged 65 years or older whose physical health status was the same or better than expected after two years.

Annual Survey (Cohort-based)

3 84% (positive responses)

Improving Bladder Control: The percentage of surveyed members 65 years of age or older who reported having any urine leakage and who discussed treatment options with a provider.

Annual Survey (Cohort-based)

1 48%

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Monitoring Physical Activity: The percentage of surveyed members 65 years of age or older who received advice to start, increase, or maintain their physical activity from their provider.

Annual Survey (Cohort-based)

1 54%

Reducing the Risk of Falling: The percentage of members 65 years of age or older who reported having a fall or problems with balance and who received fall risk intervention from their provider.

Annual Survey (Cohort-based)

1 62%

* Positive Response (HOS) = "Health is the Same/Better"

Other Satisfaction Measures (Non-Survey)

Source Stars Weight

ViVa Medicare Goal Rate

Complaints about the Health and Drug Plan: The rate of complaints about the Health and Drug Plan per 1,000 enrolled members.

CMS 4 < 1 per 1000

Members Choosing to Leave the Plan: The percent of members who chose to leave the Health Plan.

CMS 4 7% or less

Stars Improvement - Star Measure List (All Measure Periods)

Improvement Measures Source Stars Weight

ViVa Medicare Goal

YoY Improvement (Part C): The average overall YoY improvement on Part C Star Measures.

CMS 5 4 Stars

YoY Improvement (Part D): The average overall YoY improvement on Part D Star Measures.

CMS 5 4 Stars

CMS Star Ratings and the Medicare CAHPS SurveyBoth CMS and NCQA require Health Plans to administer an annual member satisfaction survey (Consumer Assessment of Healthcare Providers and Systems, or “CAHPS”). Survey results are collected and compared to national benchmarks each year to help determine Medicare Plan Overall Star Ratings. The surveys are conducted in early spring by mail and are followed up by phone call to non-responders. Results are made available later in the summer for Medicare plans.

The CAHPS survey asks members to report on and evaluate their experiences with health care. Each member is surveyed to gauge member satisfaction with services provided by the health plan and member perceptions of provider accessibility, the member-physician relationship, and provider communication.

CAHPS Survey components within the Star Ratings program continue to grow in importance. Beginning with the surveys administered in Spring 2022, member responses to the CAHPS Survey will account for nearly one-third of a Medicare plan’s Overall Star Rating, a significant increase over prior years.

A summary of Medicare CAHPS Survey topics includes:

• How well physicians communicate: Measures members’ experiences with whether the physician listened, explained, spent time with the members and respected what the members had to say.

• Getting care quickly: Measures the experiences members had in receiving care or advice within a reasonable time, including time spent in the waiting room. This is a CMS Star Measure.

• Getting needed care: Measures the experiences members had when attempting to obtain care or services from physicians and specialists, including treatments or tests. This is a CMS Star Measure.

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• Coordination of care: Measures members’ perceptions of the personal physicians’ knowledge and if the personal physicians were up-to-date about the care their members received from other physicians and health care providers. This is a CMS Star Measure.

• Shared decision-making: Measures members’ experiences with physicians in discussing pros and cons of treatment and asking what was best for members.

• Getting needed prescription drugs: Measures the experiences members had when attempting to fill a prescription at a local pharmacy or through a mail-order pharmacy. This is a CMS Star Measure.

• Rating of personal physician: Asks members to rate their primary physicians’ performance over the last 6-12 months.

• Rating of specialist: Measures members’ experiences with specialists over the last 6-12 months.

• Rating of health care: Measures members’ overall experiences with all of their health care over the last 6-12 months. This is a CMS Star Measure.

• Effectiveness of care: Members are asked whether they received a flu shot (a CMS Star Measure), if they got direction from their physician on aspirin usage, and if their physician discussed tobacco cessation.

Star Measure Brief: (HEDIS) Osteoporosis Management in Women Who Had a Fracture (OMW)The HEDIS Osteoporosis Management in Women who had a Fracture (OMW) Part C quality metric is one of the most difficult in the CMS Star Ratings program. OMW measures the percentage of women 67 – 85 years of age who suffered a fracture and who had either a bone mineral (BMD) test or prescription for a drug to treat osteoporosis in the six months after the fracture. If a fracture occurs within a certain time after a valid BMD test, the prior test is retroactively considered preventative, and the patient is excluded from the measure.

Regular bone density testing, either prior to or immediately after a fracture, is the best way to increase performance on this Star Measure. Hospitals are encouraged to perform a BMD test during an inpatient stay for fracture, prior to discharging the member. If your clinic or facility does not have appropriate scanning equipment, a collection of identified AL facilities with a proper DEXA machine is included below.

CITY AL Facilities with Bone Density Scanning Equipment (not a comprehensive list)

FACILITY ADDRESS ZIP PHONE NUMBER

ALABASTER SHELBY BAPTIST MEDICAL CENTER 1000 1ST ST N 35007 205-620-8100

ANNISTON ADVANED IMAGING OF ALABAMA 1699 GOLDEN SPRINGS RD 36207 256-835-0835

ANNISTON ANNISTON MEDICAL CLINIC 1010 CHRISTINE AVE 36207 256-236-5631

ANNISTON NORTHEAST ALABAMA REGIONAL MED CTR 400 E 10TH ST 36202 256-235-5121

ANNISTON STRINGFELLOW MEMORIAL HOSPITAL 301 E 18TH ST 36202 256-235-8900

BAY MINETTE NORTH BALDWIN INFIRMARY 1815 HAND AVE 36507 251-937-5521

BESSEMER CAHABA MEDICAL CARE 1088 9TH AVE SW 35022 205-426-0546

BESSEMER MEDICAL WEST HOSPITAL 995 NINTH AVE SW 35021 205-481-7000

BIRMINGHAM BAPTIST PRINCETON 701 PRINCETON AVE SW 35211 205-783-3000

BIRMINGHAM GRANDVIEW MEDICAL CE NTER 3690 GRANDVIEW PKWY 35243 205-971-1000

BIRMINGHAM PARKWAY MEDICAL 1160 HUFFMAN RD 35215 205-815-5000

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BIRMINGHAM SOUTHVIEW MEDICAL GROUP 833 ST VINCENT'S DR 35205 205-933-4640

BIRMINGHAM ST VINCENT'S BIRMINGHAM 810 ST VINCENT'S DR 35205 205-939-7000

BIRMINGHAM UNIVERSITY HOSPITAL 500 22ND ST S 35233 205-934-4322

CLANTON ST VINCENTS CHILTON LLC 2030 LAY DAM RD 35045 205-258-4400

CULLMAN CULLMAN INTERNAL MEDICINE 1890 AL HWY 157 35058 256-737-8000

CULLMAN CULLMAN REGIONAL MEDICAL CENTER 1912 AL HWY 157 35058 256-737-2000

DADEVILLE LAKE MARTIN COMMUNITY HOSPITAL 201 MARIARDEN RD 36853 256-825-7821

FAIRHOPE THOMAS HOSPITAL 750 MORPHY AVE 36532 251-928-2375

FLORENCE NORTH ALABAMA MEDICAL CENTER 1701 VETERANS DR 35630 256-629-1000

FOLEY SOUTH BALDWIN RMC HOME HEALTH 1613 NO MCKENZIE STREET 36535 251-952-3600

FORT PAYNE DEKALB REGIONAL MEDICAL CENTER 200 MEDICAL CTR DR SW 35968 256-845-3150

GADSDEN ADVANED IMAGING OF GADSDEN 820 SOUTH 4TH ST 35901 205-221-3523

GADSDEN GADSDEN REGIONAL MEDICAL CENTER 1007 GOODYEAR AVE 35903 256-494-4000

GADSDEN RIVERVIEW REGIONAL MEDICAL CENTER 600 SOUTH 3RD STREET 35901 256-543-5200

GARDENDALE ST VINCENTS GARDENDALE CLINIC 2217 DECATUR HIGHWAY 35071 205-418-1200

GENEVA WIREGRASS MEDICAL CE NTER 1200 W MAPLE AVE 36340 334-684-3655

HUNTSVILLE HUNTSVILLE HOSPITAL 101 SIVLEY RD 35801 256-533-8280

JASPER WALKER BAPTIST MEDICAL CENTER 3400 HWY 78 EAST 35501 205-387-4000

MOBILE MOBILE INFIRMARY 5 MOBILE INFIRMARY CIRCLE 36607 251-435-2400

MOBILE PROVIDENCE HOSPITAL 6801 AIRPORT BLVD 36685 251-633-1000

MOBILE SPRINGHILL MEMORIAL HOSPITAL 3719 DAUPHIN ST 36608 251-344-9630

MONTGOMERY BAPTIST MEDICAL CENTER EAST 400 TAYLOR RD 36117 334-244-8530

MONTGOMERY BAPTIST MEDICAL CTR SOUTH 2105 E SOUTH BLVD 36116 334-286-2987

MONTGOMERY JACKSON HOSPITAL AND CLINIC INC 1801 PINE ST 36106 334-293-8820

MUSCLE SHOALS SHOALS HOSPITAL 201 WEST AVALON AVE 35661 256-386-1600

ONEONTA ST VINCENT'S BLOUNT 150 GILBREATH DRIVE 35121 205-274-3000

OPELIKA EAST ALABAMA MEDICAL CENTER 2000 PEPPERELL PKWY 36801 334-749-3411

OZARK DALE MEDICAL CENTER 126 HOSPITAL AVE 36360 334-774-2601

PELL CITY NORTHSIDE MEDICAL ASSOCIATES 70 PLAZA DR 35125 205-814-9284

PELL CITY ST VINCENT'S ST CLAIR 7063 VETERANS PKWY 35125 205-338-3301

PRATTVILLE PRATTVILLE BAPTIST HOSPITAL 124 S MEMORIAL DR 36067 334-365-0651

SELMA VAUGHAN REGIONAL MEDICAL CENTER 1015 MEDICAL CTR PKWY 36701 334-418-4100

SHEFFIELD HELEN KELLER HOSPITAL 1300 S MONTGOMERY AVE 35660 256-386-4196

SYLACAUGA COOSA VALLEY MEDICAL CENTER 315 W HICKORY ST 35150 256-401-4000

TALLADEGA CITIZENS BAPTIST MEDICAL CENTER 604 STONE AVENUE 35161 25-636-28111

TALLASSEE COMMUNITY HOSPITAL 805 FRIENDSHIP ROAD 36078 334-283-6541

TROY TROY REGIONAL MEDICAL CENTER 1330 HIGHWAY 231 SOUTH 36081 334-670-5000

WETUMPKA ELMORE COMMUNITY HOSPITAL 500 HOSPITAL DR 36092 334-567-4311

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Pharmacy Coverage DeterminationsViVa HealtH has recently updated the forms and fax numbers for providers to submit Pharmacy Coverage Determinations. The new forms can be located on our website www.VivaProvider.com under forms and resources. The new fax numbers where Pharmacy Coverage Determinations should be sent are listed below.

ViVa Medicare Pharmacy Fax Number: (205) 449-2465 (For Medicare Advantage plan members)

ViVa HealtH Pharmacy Fax Number: (205) 872-0458 (For employer group members)

Provider Portal - Account ManagementIn an effort to maintain appropriate portal access and security, ViVa HealtH has the following access controls in place:

• Accounts that are inactive for 90 days are automatically disabled. • Users are forced to change their password every 180 days, and the last 4 passwords cannot be reused.• Once a new account is established with a temporary password, the user has 14 days to log in and change their

password or the account is disabled.• Session timeout is set for 15 minutes of inactivity.

Use Strong PasswordsViVa HealtH recommends that users create a “strong” password in the Provider Portal. The following password guidelines can help protect your office, your patients and our organization:

Passwords should be at least 8 characters in length. Think of a favorite lyric from a song, use the first letter of each word intermingled with a capital letter, special character and number. Use different passwords for all accounts/applications. NEVER share your password or login with anyone (each user must have a unique login).

Remember, you are responsible for what happens under your login in the Provider Portal. It is the responsibility of the Provider Offices to regularly review the list of users for the practice to ensure access is appropriate. Access must be disabled immediately when a user’s access is no longer required for your practice. Also, remember that every function in the Provider Portal is digitally tracked based on the username and associated password.

Provider Offices are also responsible for provisioning and managing accounts of any 3rd party not employed by your practice (i.e., 3rd party billers). See the article titled “Third Party Administrators” on page two of this newsletter or the ViVa HealtH Provider Manual for more details.

Quick Note: Participating Providers It is important to always utilize participating providers for our ViVa Medicare and Commercial members. To confirm if a provider is participating please visit www.vivahealth.com or contact our Provider Customer Service department directly at 205-558-7474.

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Participating Lab UsageViVa HealtH is dedicated to working with you to ensure quality care is provided at the lowest cost possible

to our members. We need your help to continue this effort. According to your provider contract, you should

only refer patients to participating providers, including lab services. If you use a non-par lab, look for communication from ViVa HealtH regarding a change in our policy that may negatively impact

your fee schedule. Our participating laboratories are as follows:

Accupath Diagnostic/US Labs

Alimetrix

American Esoteric Laboratories

Associated Pathologists

Assurance Scientific Laboratories

Assurex Health

Compass Lab

Cunningham Pathology

Diatherix Laboratories

GeneDX

Labcorp

Lister Healthcare/Lister Lab

Millennium Laboratories

Myriad Genetics Laboratories

Neogenomics

Pathgroup Labs

Quest Diagnostics

Regional Biomedical Lab

Sequenom Center for Molecular Medicine

Southeast Clinical Laboratories

Southern Lab Partners

Synergy Laboratories

Total Renal Laboratories

*All participating hospital laboratories

*All routine in-office labs

IF YOU HAVE A QUESTION, PLEASE CONTACT OUR CUSTOMER SERVICE

DEPARTMENT AT 205-558-7474 OR TALK TO YOUR PROVIDER REPRESENTATIVE. 9

Provider Portal SetupThe Provider Portal is a secure web-based application designed to give providers quick access to member eligibility, authorization status, and claim payment information. For setup, visit www.vivaprovider.com and select Provider Portal.Complete and submit the Provider Portal online registration form. Provider Customer Service will contact you with a secured login ID and password within 3-5 business days. For password resets or reactivations, please email [email protected] or contact Provider Customer Service directly at 205-558-7474.

EFT Availability ViVa HealtH has selected Change Healthcare as its electronic payment and remittance administrator. There is no cost to you to use Change Healthcare ePayment. Enrollment is simple and free!

With ePayment, you can accelerate your reimbursement cycle, eliminate manual processes like sorting and opening mail, reconciling paper-based claims payments, creating deposit tickets, and making trips to the bank.

Enroll today with Change Healthcare ePaymentYou can switch from paper to electronic payments by submitting an ePayment enrollment authorization by mail, email or fax.

Medical Providers: Change Healthcare Payer ID: 63114To enroll by mail, email, or fax, download the enrollment form at:

• ChangeHealthcare.com/eft

• Call 866.506.2830

• Fax 615.238.9615

• Enroll by email, send completed PDF form to: [email protected]

Holiday Schedule

Monday, May 31st, 2021 (Memorial Day)

Monday, July 5th, 2021 (Independence Day Observed)

Monday, September 6th, 2021 (Labor Day)

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Important ViVa HealtH plan information.

PRSRT STDUS POSTAGEPAIDBIRMINGHAM, ALPERMIT NO. 2061

417 20th Street NorthSuite 1100Birmingham, Alabama 35203