Special Alert June 2025 - American Specialty Health (ASH) Notification

REQUIREMENTS: - By August 15, 2025: Billing team and providers must register with ASHLink.com portal and obtain ASH contact information (1-888-511-2743) for all alternative care providers in network. - By September 1, 2025 (OR Commercial) and December 15, 2025 (WA Commercial and Medicare): Update billing workflows to route all chiropractic, acupuncture, naturopathic, and therapeutic massage claims to ASH instead of Providence Health Plan. Update billing system with ASH claims submission address and requirements. - Immediately: Train front desk and clinical staff that providers MUST obtain prior authorization from ASH before delivering alternative care services to in-network members. For out-of-network members, document that members are responsible for obtaining authorization. - Before effective date: Modify encounter forms and EMR templates to require providers to confirm medical necessity documentation is complete before submitting claims to ASH. - Ongoing: Monitor for any claims rejected by Providence Health Plan and forward to ASH per new procedure. Track authorization denials and communicate outcomes to providers. CONSEQUENCES: Claims submitted to Providence Health Plan after the effective date will be forwarded to ASH, causing payment delays. Claims without ASH prior authorization will be denied. Out-of-network members without proper authorization documentation will be held responsible for costs.