Provider and Payor Relations

Provider Relations provides information to physicians and their staff on BIDPO’s managed care contracts, their requirements and their implementation processes.

We are very focused on meeting your needs for insurer information so that you may manage your practice as smoothly as possible.

More specifically, functions include:

  • Disseminate timely and accurate information on issues such as referral and authorization requirements of the managed care plans
  • Provide billing and coding updates
  • Act as liaison to the health plans to resolve any issues that are affecting your business operations
  • Provide forums where information regarding managed care plans, policies, billing guidelines, claims submission information etc are provided. You are invited to send a member of your office staff to these meetings – just contact one of the staff below to get on our mailing list.
  • Coordinate educational sessions with our contracted plans throughout the year to keep offices up to date on policy changes at the health plans
  • Monitor and distribute information on health care legislation and its effects on practice operations
  • Coordinate information and enrollment for participation in risk and non-risk managed care contracts
  • Facilitate difficult claims processing and payment issues for providers.
  • Coordinate PCP Advisory Committee Meetings and PCP orientation sessions.

If you need to contact a BIDPO staff member on a Provider Relations issue or for help with any questions or problems you are experiencing with managed care payers, please contact one of the staff members below:

Linda Guerra, Director, Provider and Payor Operations, Tel:617-754-1004,

Email: lguerra@bidmc.harvard.edu

Marilyn Perna, Senior Provider Relations Specialist, Tel:617-754-1028,

Email:mperna@bidmc.harvard.edu