Medicare Annual Wellness Visits will remain covered once per calendar year
Medicare Annual Wellness Visits will remain covered once per calendar year
July 22, 2026
July 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.
July 20, 2026
Your payments will be delivered by ECHO starting Sept. 1
As a reminder, on Sept. 1, 2026, you’ll start receiving claim and capitation payments, remittance details and 1099s from ECHO Health Inc., in partnership with Optum Financial. You can now start taking action to establish your payment preferences Optum / ECHO.
July 15, 2026
Chelation therapy policy and billing updates effective Sept. 7
We’ve updated our chelation therapy medical and billing policies to align coverage criteria and claims processing requirements.
June 23, 2026
Important reminders about our new claim dispute process
Earlier this year, we changed our claim dispute process. Here is some important information about the new process.
June 22, 2026
Claim payments could be delayed this week
Due to technical issues, claim payments could be delayed this week.
June 18, 2026
June 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.
June 15, 2026
Drug dosing modifier (JW/JZ) edit denying in error
Key Update Claims billed in accordance with the Priority Health Provider Manual (JW/JZ modifier guidance)—with no modifier on line 1—are currently denying inappropriately.
May 26, 2026
Reminder: medical documentation required for billing above MUE limits
When services are billed above the Medically Unlikely Edit (MUE) limit, we require clear, specific medical documentation to support the additional units. Without this detail, claims may be reduced or denied — even when care is clinically appropriate. Documentation must explain why additional units were medically necessary for that specific date of service.
May 22, 2026
Reminder: new payment & RA processes coming Sept. 1
On Sept. 1, 2026*, you’ll start receiving claim and capitation payments, remittance details and 1099s from ECHO Health Inc., in partnership with Optum Financial.
May 20, 2026
05/16/2026: May 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.
May 13, 2026
Start using E/M codes for maternity services billing in June
The American Medical Association (AMA) recently announced new obstetric (OB) CPT codes that will replace the bundled, global OB payment for maternity care services, effective Jan. 1, 2027. We encourage providers caring for pregnant women to start using existing E/M codes when billing for patients starting their prenatal visits on / around June 1, 2026.
May 5, 2026