News about our plans, authorizations, coding, billing, formularies and more.
Recent news
May 11: Updated 2026 PIP Manual now available
May 11: Start using E/M codes for maternity services billing in June
May 11: We'll use 2026 InterQual criteria starting July 13
May 6: Register now for our June 11 pharmacy updates webinar
April 28: Drug changes coming July 1 for commercial group and individual members
April 27: Notice of Admission required for hospital inpatient admissions starting Aug. 1
April 27: Reminder: the standard authorization turnaround time is seven days
April 23: 2026 HIDE-SNP and D-SNP Model of Care training is now required for Medicare and Medicaid providers
April 21: Register now for our May 21 billing & coding webinar
April 16: Temporary, expanded coverage of MMR vaccine