Billing & payment news

January billing policies update

The following billing policies were recently published to or updated in our Provider Manual.

June 25, 2025

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Corrected claims must include the original claim ID

As a reminder, we require that corrected claims – submitted to either replace, correct or void an original claim that was partially or fully paid – include the original claim ID. We’ll soon begin front-end rejecting corrected claims that have an invalid / incorrect original claim ID.

June 25, 2025

Telemedicine billing updates effective Jan 1

At Priority Health, we align our telehealth / virtual services billing guidelines with AMA, CMS and MDHHS. AMA and CMS recently released updates effective Jan. 1, 2025.

June 25, 2025