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.
Claim acknowledgement & status updates starting Sept. 1
We’re notifying the network of three updates to electronic claim acknowledgement / status response availability that will start on Sept. 1, 2026, in alignment with the launch of our new Provider Portal.
Reimbursement available for Medicaid mental health screening assessments including telehealth
Reimbursement available for Medicaid mental health screening assessments including telehealth
We've simplified our process for submitting Level 1 and 2 claim disputes
We've simplified our process for submitting Level 1 and 2 claim disputes
Medicare Annual Wellness Visits will remain covered once per calendar year
Medicare Annual Wellness Visits will remain covered once per calendar year
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.
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.
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.
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.
Claim payments could be delayed this week
Due to technical issues, claim payments could be delayed this week.
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.
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.