April 25, 2025
Beginning May 1, 2025, TurningPoint will manage prior authorization requests for musculoskeletal surgical procedures.
April 24, 2025
Availity clearinghouse is now available for unsolicited EDI 275 claim attachments. See our growing list.
April 24, 2025
In January 2025, we made policy updates for weight loss and obesity medications for certain Massachusetts plans.
April 24, 2025
Register with Sandata and begin to use the state’s EVV system to avoid claim denials beginning on June 1.
April 24, 2025
Referrals for New York Medicaid members are required for only certain specialty services. View the latest requirements.
April 23, 2025
Submit claims with Category II CPT codes for prenatal/postpartum services to comply with NY state guidelines.