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Renew by Dec. 15 for Jan. 1 coverage. Stay covered with Ambetter Health.

Renew by Dec. 15 for Jan. 1 coverage. Stay covered with Ambetter Health.

News

Interpreta Now Provides Daily Care Gap Reports for Ambetter from Peach State Health Plan Members

Date: 04/13/18

Dear Provider,

Ambetter from Peach State Health Plan now provides daily care gap information to help you better care for our members, your patients. This updated information also will assist you in managing pay-for-performance metrics.

The information, available from Interpreta, offers real-time analytics gleaned from pharmacy, membership and claims data streams. All you need to do to access these reports is login to your existing Availity Portal and go to the Peach State Health Plan Payer Space. Most providers already use Availity. If you do not yet have an account, go to www.availity.com to sign up. It's easy. All you need is your Tax Identification Number (TIN) and an email address.

Once there, you can view care gap information for members assigned to individual physicians; or view all members assigned to a TIN. The individual member view provides an in-depth look at a member's clinical history as well as supporting documentation.

We launched these reports in June 2017, and initial feedback has been glowing.

Providers like the ability to:

  • Access real-time Information vs. longer 30-90 day windows
  • Drill down on each patient, including information on rendering physician
  • Take the guessing out of pay-for-performance measures
  • Easily read the care gap reports

Ambetter from Peach State Health Plan is excited about this new tool and its ability to help us address important member health needs together. Questions or concerns? Please contact us at 1-877-687-1180. We're happy to help you make the most of this new tool and we value your partnership.

Sincerely,

Ambetter from Peach State Health Plan