News about our plans, authorizations, coding, billing, formularies and more.
Recent news
June 18: Claim payments could be delayed this week
June 8: prism Security Administrators: Create a site for our new Provider Portal beginning Monday, June 15
June 8: New CMS program expands Medicare access to GLP-1 weight loss medications starting July 1
June 8: Announcing our 2026 Provider Mini‑Grant recipients
June 3: Get our spring Quarterly Newsletter and Quality Newsletter
May 26: Register now for our new Provider Portal site creation training beginning June 8
May 26: New Provider Portal coming September 1; registration begins as early as June
May 26: Drug dosing modifier (JW/JZ) edit denying in error
May 26: medical documentation required for billing above MUE limits
May 26: Reminder: New payment & RA processes coming Sept. 1
May 26: Update to inpatient readmission review & appeal processes
May 26: May medical policy updates
May 26: 2026 PIP reports to be sent via SFTP from Sept.-Dec.
May 26: Notice of Admission requirement delayed until Sept. 1