Billing & payment news

January billing policies update
June 25, 2025

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

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Corrected claims must include the original claim ID
June 25, 2025

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.

Telemedicine billing updates effective Jan 1
June 25, 2025

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.