Thursday, March 25, 2021

Paramount Advantage Launches New Electronic Claims System

Paramount is launching a new electronic claims system on June 1, 2021. This will impact the Advantage Medicaid product line only, for claims with dates of service on or after June 1, 2021. The claims submission process will remain the same.

Also effective June 1, 2021, each Paramount Advantage member will be assigned a new 11-digit member identification number which starts with the number 1, i.e., 12345678901. Members will receive their new ID cards and numbers in the mail beginning June 1, 2021. 

Paramount Elite Medicare and commercial product lines will be activated in the new claims system at a later date. For these members, their identification numbers, which start with the letter P will remain the same until they are transitioned to the new system.


IMPORTANT: Advantage Medicaid members' legacy identification numbers, which start with the letter A are still active in the event you inadvertently bill for services with the member’s old ID number, as well as billing for services rendered prior to June 1, 2021.  Please note that Explanations of Payment generated by the new system will have the members’ new ID numbers on them.

The claims filing address, P.O. Box 497, Toledo, OH 43697-0497 remains the same and Paramount’s clearinghouse Payer IDs also remain the same.

We will keep you informed in the coming months and post new updates on
Paramount’s Provider News webpage, paramounthealthcare.com/providernews.

As always, please feel free to contact Tim Petee, Director, Regional Operations, Paramount by email at Tim.Petee@Promedica.org or by phone at 419-887-2961.

 


Thursday, March 18, 2021

Colorectal Cancer Screenings

This month highlights awareness surrounding Colorectal Cancer. Did you know that approximately 1 in 25 people in the US currently have Colorectal Cancer? It is one of the most deadly cancers out there. Colorectal Cancer is the third leading cause of cancer-related deaths in people each year.

What is Colorectal Cancer? It is a cancer that starts in the colon or rectum and can occur when cells in our bodies grow out of control. This disease can spread throughout your body if polyps form. The stage of the cancer is dependant on how much cancer spreads into cell walls. 

Can you prevent Colorectal Cancer? Yes and no. There are lots of risk factors that contribute to Colorectal Cancer including hereditary components. At the same time, there are ways to adjust your lifestyle to lower your risk of getting Colorectal Cancer too. These lifestyle changes include; getting regular exercise, having a healthier diet, quit smoking, and cut back on alcohol.


Helpful Links: 

Check out past OACHC Webinars on Colorectal Cancer Screenings:

Thursday, March 11, 2021

Are you sleeping? Are you sleeping....


The average human adult needs about 7 hours of sleep per day in order to properly function. However, many people suffer from sleep-related disorders. Close to 70 million people in the US suffer from some sleep-related issue. The most common disorders are sleep apnea, insomnia, and restless leg syndrome.

The inability to get a good night of sleep can put a lot of stress on a person. Your entire day can be affected by a lack of rest. Some tips for getting a good night of sleep include: 

  • Having a consistent bedtime and nighttime routine
  • Sleeping in a relaxed and comfortable environment
  • Avoiding caffeine or sweets close to bedtime
  • Getting exercise earlier in the day
If you still have trouble sleeping after trying different things, you should consult a physician for a sleep intervention. You could be one of the millions of people that have a specific sleep disorder and need to take different steps to ensure a good night of rest.

Helpful Links