Provider news & education
News about our plans, authorizations, coding, billing, formularies and more.
Recent news
April 2: Update to corrected claims goes into effect June 2
April 2: Authorization appeal update goes into effect June 2
April 2: Reminder: EviCore radiation oncology program and resources
April 2: 2025 InterQual transition coming June 2
March 31: Coverage changes coming for Stelara, Yesintek and Selarsdi
March 26: Provider re-enrollment for the Vaccines for Children program closes Apr. 1, 2025
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
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.