Reminders and Updates

Learn the essentials of lifestyle medicine for your practice.

Request a conversation using the phone number in the denial notification letter.

Additional drugs will require prior authorization under the drug site-of-service medical policy.

Confirm requirements before sending samples to the lab.

Effective July 1, 2025, Alaska will allow licensing of Associate Counselors, but licensing information from the state is still to come.

Eligible members receive opt-in invitations for at-home test kits

Learn the essentials of lifestyle medicine for your practice.

Follow these steps to avoid a processing delay.

Prior authorizations submitted for 8 specific procedures in ambulatory surgery centers will be automatically approved.

New ambulatory surgery center codes for 2025.

Check before you test to make sure vitamin D screenings are medically necessary.

Here’s when you can expect them for 2025.

Sending one appeal per patient helps us process your appeals faster.

State mandate removes cost sharing for supplemental or diagnostic breast examinations.

Additional information regarding new drug and biologic edits.

Include a description of the service rendered when billing an unlisted procedure code.

Drug waste will be reimbursed when billed with correct modifiers.

When is it appropriate for your patient?

Help reduce your patients’ out-of-pocket costs.

Mark your calendar for benefit changes effective July 1.

Make sure to append the correct modifier and number of units.

Paper FEP explanation of payments ending August 1 for those using electronic funds transfer.

Durable medical equipment edits are coming to the claims editor.

Correct coding of diagnosis codes, procedure codes, and place of service codes to be implemented.

Comply with No Surprises Act requirements and verify your information with BetterDoctor.

Find the articles you need easier than ever.

Maximum daily units in claims editor explained.

Premera is expanding its formulary to include generic Fluticasone HFA.

Follow these simple steps to ensure you receive InstaMed autopayments in 2024.

New drug and biologic edits will be implemented to support medical and pharmacy policies.

90-day notice of changes for claims including an RA modifier.

Recent sensor failures are not detecting correct blood sugar levels.

Changes are in store for preventive benefits in 2024.

Upcoming 2024 claims editing projects.

Prior authorization requests must be re-submitted if attachments for more than one member are included.

Follow these steps to ensure you receive InstaMed autopayments in 2024.