Provider news & education
News about our plans, authorizations, coding, billing, formularies and more.
Recent news
May 20 New clinical edit and medical policy for pain management
May 19 New clinical edits for professional and facility claims
May 18 Site of service restrictions for oncology infusions
May 13 We're working to resolve Medicaid claims being rejected incorrectly
May 9 Virtual Care Partners launching for commercial large groups July 1
May 9 New billing guidance for follow-up colon cancer screenings
Apr. 19 CMS' Two-Midnights Rule doesn't apply to Medicare Advantage members
Apr. 19 Safely dispose of unneeded prescription drugs on April 30
Apr. 14 New virtual care billing requirements for FQHCs and RHCs
Apr. 13 Reporting other insurance on Medicaid claims for Vision, NEMT and MIHP providers
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