Provider news & education
News about our plans, authorizations, coding, billing, formularies and more.
Recent news
April 30: Reminder to complete our CMS-required D-SNP Model of Care training
April 29: Resolving Medicaid claims that are incorrectly front-end rejecting
April 25: Q2 physician & practice news digest
April 24: July 2024 formulary changes for commercial group and individual members
April 24: ID.me identity verification now required for new prism users
April 24: PriceMyMeds launching on April 25 to increase prescription drug affordability
April 16: Resources to help your patients during Mental Health Awareness Month
April 15: Providers may need to resubmit incorrectly denied COVID vaccine claims for payment
April 12: Appeals on incorrectly coded claims will result in upheld denials starting May 1
April 10: Get our 2024 HEDIS® ECDS Provider Guide