Provider news & education
News about our plans, authorizations, coding, billing, formularies and more.
Recent news
January 27: Related readmissions policy updates coming Apr. 27, 2023
January 26: Reprocessing Medicare inpatient hospital claims submitted 12/14/22 - 1/25/23
January 19: We're retiring level II audit appeals on Mar. 19, 2023
January 18: More provider types accepted for hospice, home health claims
January 3: Doula services covered by Medicaid effective Jan.1, 2023
December 27: Medicare therapy cap changes effective Jan. 1, 2023
December 23: Edits Checker tool gets an upgrade
December 23: How we're addressing claims impacted by the 340B-Acquired Drugs ruling
December 23: Update to secondary claims process effective Mar. 1, 2023
December 19: We've updated our 2023 ACA-compatible plan fee schedules