1. Formulary Changes Effective Oct. 1. 2. EFFECTIVE JULY 1, 2016 INTOTAL HEALTH WILL TRANSITION TO NEW CLAIMS PROCESSING AND CALL CENTER BACK OFFICE More Information
1. We update our formulary quarterly and post changes here on our website. To request pre authorization of any of the drugs on our formulary that require it, ask your doctor to fax us a completed Pharmacy Pre-Authorization Form. Please click here for our medication changes effective October 1, 2016.
2. On July 1, 2016, INTotal Health will transition to a new claims processing and call center back office — DST Health Solutions.
Summary of Changes: For dates of service on or after July 1, 2016, you will need to make some changes to the way you submit claims for services you provide to INTotal Health members.
What this means to you: Claims with dates of service on or after July 1, 2016 must be submitted as follows:
-By Mail: Use new address below
-By Electronic Submission: Use new Payer IDs below