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Updated Clinical Alerts Overview is available

March 29, 2012

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In 2009, Clinical Alerts were introduced as a tool to notify primary care physicians (PCP), OB/GYNs, cardiologists, and endocrinologists when their IBC patient has not received a recommended service or medication. These notifications are available on the NaviNet® web portal through the Eligibility and Benefits Inquiry transaction.

Initially, 13 Clinical Alerts were introduced, including ones for missing mammograms and cholesterol screenings. Recently, the following new Clinical Alerts were added:

  • bone mineral density test or drug to treat or prevent osteoporosis;
  • HbA1c between 7% ? 7.9% for patients with diabetes;
  • HbA1c between 8% ? 8.9% for patients with diabetes;
  • HbA1c greater than 9.0% for patients with diabetes;
  • cholesterol >=100 mg/dL for patients with diabetes;
  • cholesterol >=100 mg/dL for patients with cardiovascular conditions.

The Clinical Alerts Overview, a user guide for how to access Clinical Alerts, has been updated to include these new alerts. The updated guide is available in the Administrative Tools & Resources section of IBC NaviNet Plan Central.

Note: PCPs are able to view all of a member?s Clinical Alerts; however, specialists can view only those alerts pertaining to their specialty. Please refer to the Clinical Alerts Overview for a complete list of all alerts and the specialties they pertain to.

NaviNet® is a registered trademark of NaviNet, Inc., an independent company.

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