Reminders and Updates

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.