March 28, 2014 UAW Retiree Medical Benefits Trust (URMBT) to end the Indiana CareCore Pilot program Effective May 13, 2014, the UAW Retiree Medical Benefits Trust (the Trust) will end a pilot program with CareCore National LLC, for the clinical review and prior approval of diagnostic imaging services for nonMedicare UAW Chrysler, Ford and GM retirees and their eligible dependents. After May 12, the prior approval requirements will no longer apply to non-Medicare members enrolled with Anthem Blue Cross and Blue Shield (Anthem) in Indiana, in the Traditional Care Network (TCN) plans under the group numbers indicated below. Group Name Plan Name Alpha Prefix URMBT General Motors URMBT Chrysler URMBT Ford TCN TCN TCN UGD UCK UFK Group Number 71436 71400 71435 CareCore approval is still required for dates of services through May 12, 2014 for non-Medicare members enrolled in the Traditional Care Network (TCN) plan in Indiana. Medicare members were not subject to CareCore approval. This is a revision to the April 29, 2011 Network eUPDATE, “Indiana URMBT Will Use CareCore National for Diagnostic Imaging Review.” When a provider recently joins or leaves your practice, or you have a change in your address, phone number, and/or open/close practice status, etc., please let us know by completing the Anthem Provider Maintenance Form at anthem.com. Anthem Blue Cross and Blue Shield is the trade name of: In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. Visit us online at www.anthem.com In Ohio: Community Insurance Company. In Wisconsin: Blue Cross Blue Shield of Wisconsin ("BCBSWi"), which underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation ("Compcare"), which underwrites or administers the HMO policies; and Compcare and BCBSWi collectively, which underwrite or administer the POS policies. Independent licensees of the Blue Cross and Blue Shield Association. ® ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are the registered marks of the Blue Cross and Blue Shield Association.
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