New and updated billing policies are now available
The following billing policies were recently published to or updated in our Provider Manual.
RAs for January CM checks are being delivered late
Remittance advices (RAs) for our January 2025 care management (CM) payment checks are being delivered late. Checks have already been delivered.
January billing policies update
The following billing policies were recently published to or updated in our Provider Manual.
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.
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.