Authorization news for providers
- 11/01/2022: 30-day pre-claim appeal deadline in effect January 1
- 10/27/2022: Prior authorization no longer required for two CPT codes
- 08/30/2022: New prior authorization requirements for bariatric surgery
- 08/23/2022: Prior authorization is now required for IMRT services
- GuidingCare upgrade and new authorization guides are live
- 07/27/2022: GuidingCare tips: InterQual Smartsheets and messages
- 06/30/2022: Ensuring accurate Elective Inpatient Admission authorization reviews
- 02/04/2022: Provider news tips to successfully complete InterQual review
- 01/07/2022: Notice of admission isn't required for our Medicare members
- 12/30/2021: Our 2022 prior authorization updates are live
- 11/15/2021: New functioning coming to GuidingCare
- 11/10/2021: Starting Nov. 15, pediatric tonsillectomies no longer require authorization
- 11/01/2021: Important 2022 prior authorization updates
- 10/25/2021: SCOE retiring Jan. 1, 2022
- 10/15/2021: We're upgrading to InterQual 2021
- 10/07/2021: Oct. 15 specific services transition to 2021 InterQual
- 09/28/2021: Assist members transferred from THC with updating their medications
- 08/18/2021: 2021 CMS Inpatient Only list is delayed
- 08-12-2021: GuidingCare down the weekend of Aug. 20
- 08/12/2021: 2021 InterQual criteria is delayed
- 08/11/2021: Enhancements to GuidingCare coming Aug. 23
- 07/28/2021: GuidingCare transitioning to 2021 CMS Inpatient Only list
- 07/02/2021: Musculoskeletal authorization updates
- 06/21/2021: 2021 InterQual
- 04/05/2021: ADT enhancement
- 03/19/2021: MSK moving to GuidingCare
- 03/02/2021: 2021 MSK change in April
- 02/11/2021: Update to eviCore retrospective authorizations
- 01/29/2021: eviCore retro genetic labs
- 09/22/2020: GuidingCare tips
- 09/16/2020: Fax and Auth Priority
- 09/13/2020: Medicare auth alert
- 09/04/2020: New authorization tool launches
- 08/14/2020 Changes to retro auths for Non-Medicare outpatient services
- 07/29/2020: Hospice authorization update
- 07/29/2020: GuidingCare training registration
- 07/14/2020: Updating medical policy criteria
- 07/13/2020: Transitioning to InterQual 2020
- 03/23/2020: Faxes will no longer be sent for some transplant and out-of-network auth approvals
- 02/17/2020: Change to facility retrospective authorization review time frame