Billing & payment news

Update to Billing Provider address on claims
September 9, 2026

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.

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Sept. 2026 billing policy updates
September 9, 2026

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
September 8, 2026

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
August 13, 2026

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
August 12, 2026

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
August 3, 2026

Reimbursement available for Medicaid mental health screening assessments including telehealth

We've simplified our process for submitting Level 1 and 2 claim disputes
August 3, 2026

We've simplified our process for submitting Level 1 and 2 claim disputes

Claim acknowledgement & status updates
August 3, 2026

We’re notifying the network of three updates to electronic claim acknowledgement / status response availability.

Medicare Annual Wellness Visits will remain covered once per calendar year
July 22, 2026

Medicare Annual Wellness Visits will remain covered once per calendar year

July 2026 billing policy updates
July 20, 2026

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
July 15, 2026

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
June 23, 2026

We’ve updated our chelation therapy medical and billing policies to align coverage criteria and claims processing requirements.