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The information contained within this message is for your use, in order to inform you of any changes that may be occurring at the San Juan IPA, or within the medical community. Please read each message carefully, as they contain important information that may directly affect your practice.
San Juan IPA Contracted Members: Contract Updates
Centene/Western Sky: This payer is relatively new to New Mexico and is one of the three MCOs that will be handling the Centennial Care line of business (BCBSNM and Presbyterian are the other two). We understand that Western Sky sales representatives have been calling our members asking to contract. San Juan IPA and Centene are working on a contract for Centennial Care and the DSNP program, and we have requested that they stop calling our members until we have gone through that process.
Molina lab: Members in the San Juan County members may have been receiving denials for labs done in-
Chief Executive Officer
San Juan IPA and Affiliates
Did you know? Not collecting copays and deductibles can result in a fine? See example from UHC 2018 Provider Administrative Guide
Contents of this email:
SJIPA Contract Updates