The Benefit Funds Offer Virta to Help Members Potentially Reverse Their Type 2 Diabetes
In April, the Benefit Funds launched access to Virta, a program with a medically based approach to reduce A1C levels and potentially even reverse type 2 diabetes without medications or surgery. Virta will be offered at no cost to eligible 1199SEIU members and their dependents who have A1C levels of seven or higher. The program includes a Virta app to log health data and symptoms, which Virta clinicians can then access to recommend treatment and any necessary adjustments in collaboration with members’ providers. It also features individualized nutrition therapy with carbohydrate restriction; health coaches; and tools to measure blood glucose, ketones and weight. Please encourage your eligible patients to create an account at www.VirtaHealth.com/join/1199 or to email [email protected] for more information.
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Ensure Faster Claims Processing by Using Correct Billing Codes
The National Correct Coding Initiative (NCCI), which promotes national correct coding methodologies and controls improper coding and incorrect payments for medical services, includes three types of edits: NCCI Procedure-to-Procedure Edits prevent inappropriate payment...
ClaimsXTen Select Is Now Lyric
The Benefit Funds’ claims auditing software ClaimsXten Select is now Lyric. Only the name—not the software—has changed. Lyric will continue to assess the appropriateness of professional and outpatient hospital claims against clinically based coding rules and edits,...
The Benefit Funds Credentialing Committee Seeks Board-certified Physicians
The Benefit Funds invite all board-certified participating providers with exemplary credentials and leadership qualities to join the 1199SEIU Benefit Funds Credentialing Committee. As a committee member, you would help ensure that the Benefit Funds maintain a...
The Benefit Funds Are Recredentialing Our Provider Network
The Benefit Funds are recredentialing our provider network and need your help to ensure that members have access to quality in-network healthcare providers. Please update your Council for Affordable Quality Healthcare (CAQH) application and your attestation form. You...
Important Alerts and Reminders
Aetna Choice POS II has been the wraparound network supplementing the Benefit Funds’ directly contracted network for coverage outside New York City since March 2, 2023. Aetna Choice POS II New York City provider locations are considered nonparticipating. Members must...