10/30/2026: 2027 commercial fee schedules are available online
2027 commercial fee schedules are available online
Retirement of 999 implementation acknowledgments
Effective Jan. 1, 2027, in alignment with the launch of our new Provider Portal, we’ll no longer return 999 Implementation Acknowledgment transactions for electronic claims submissions. You should instead use 277CA Claim Acknowledgment and 276/277 Claim Status transactions to monitor claim receipt and status.
Your payments will be delivered by ECHO starting Jan. 1
As a reminder, on Jan. 1, 2027, you’ll start receiving claim and capitation payments, remittance details and 1099s from ECHO Health Inc., in partnership with Optum Financial. If you haven’t already, take action soon to establish your payment preferences Optum / ECHO.
HIDE-SNP nursing facility claim submission reminder
This is a reminder for nursing facilities submitting claims for PriorityMedicare Dual Premier (HIDE-SNP) members.
Oct. 2026 billing policy updates
We publish billing policies to offer transparency and help you bill claims more accurately to reduce delays in processing claims, as well as avoid rebilling and additional requests for information.
New "Coding Connections" resource
Accurate coding and complete documentation can help prevent unnecessary claim denials. With this in mind and to better support you, our provider network, we’re introducing Coding Connections – a new monthly resource filled with practical billing and coding tips based on common claim denials and questions we often receive.
Update to Billing Provider address on claims
Effective Nov. 16, 2026, we’ll no longer accept commercial and Medicare claims submitted with a P.O. Box in the Billing Provider address field. These claims will be front-end rejected back to the provider.
Sept. 2026 billing policy updates
We publish billing policies to offer transparency and help you bill claims more accurately to reduce delays in processing claims, as well as avoid rebilling and additional requests for information.
Updated timelines for our payment process change
We postponed the payment process updates with ECHO Health Inc. (“ECHO”) until Jan. 1, 2027, to align with the new launch date of our Provider Portal powered by Epic.
August 2026 billing policy updates
We publish billing policies to offer transparency and help you bill claims more accurately to reduce delays in processing claims, as well as avoid rebilling and additional requests for information.
Viewing past remittance advices on the new Provider Portal
When the new Provider Portal goes live on Sept. 1, remittance advices (RAs) for dates of service beginning Sept. 1, 2026, will be automatically available on your portal account. However, if you need to see RAs from dates of service prior to Sept. 1, you’ll need to add the Remittance Review staff role on our new Provider Portal. If you don’t do this by the time our new Provider Portal goes live, you won’t have immediate access to past RAs.
Reimbursement available for Medicaid mental health screening assessments including telehealth
Reimbursement available for Medicaid mental health screening assessments including telehealth