Provider news & education
News about our plans, authorizations, coding, billing, formularies and more.
Recent news
March 19: Reminder: Claim dispute (appeal) decisions are delivered via prism
March 19: COVID-19 PHE telehealth flexibilities for Medicare extended through Sept. 30, 2025
March 19: New and updated billing policies are now available
March 19: Updated 2025 PCP Incentive Program (PIP) manual now available
March 19: Authorization requests for diagnostic imaging procedures 73700 and 73200 now auto approve
March 19: Register now for our April 17 billing & coding webinar (including credentialing & enrollment tips)
March 11: We're reprocessing select doula claims due to a fee schedule error
March 10: Changes in TREMFYA coverage coming Apr. 1, 2025
March 5: New rewards supporting maternal care for your Priority Health Medicaid patients
March 5: We're collecting medical records for our Medicare retrospective review
Training and education
Provider education is now in prism. Navigate to prism's Resources dropdown menu and select Training & education. This will take you to the new provider training & education landing page, where you’ll find links to provider webinars, newsletter digests and more.