Check out this page for any general Payer News. We will do our best to share time-sensitive items to this page. These links are provided as a service to our members.  All content is the responsibility of the entity providing the information.  Payer-specific links can also be found on our individual payer pages. 

Click here to view Payer News & Updates for September 2020!

Looking for additional payer information? Consider attending our virtual Fall Financial Conference on November 13, 2020! 


COVID-19 Related Items:

COVID-19: Provider FAQs and Resource

  • Telemedicine (7/31/20)
  • Billing and Coding (7/10/20)
  • Patient Coverage (7/31/20)
  • Management Resources (7/31/20)

BCBSIL News and Updates

  • Telehealth Cost-Share Waiver Extended for Medicare Members
  • Submit Predetermination of Benefits Requests via the Availity® Provider Portal
  • Pharmacy Program Updates: Quarterly Pharmacy Changes
  • BCCHP and MMAI Provider Alert: Mandatory Annual Training Must Be Completed by Dec. 31, 2020
  • Overpayment Recovery Process for Contracted Providers: Changes as of Jan. 1, 2020
  • BCBSIL Extends Telehealth Benefits Through Dec. 31, 2020
  • Member Cost-Sharing Waiver for COVID-19 Treatment Extended Until  Oct. 23, 2020
  • And more

BCBSIL Blue Review Aug 2020

  • CMS Payment Adjustments for Medicare Advantage and MMAI Providers During Public Health Emergency
  • Blue Cross Community Health PlansSM (BCCHPSM) and Blue Cross Community MMAI (Medicare-Medicaid Plan)SM Appointment Availability Timeframes
  • Procedure Code and Fee Schedule Updates
  • And more

Cigna Network News 3rd Quarter July 2020

  • Clinical, Reimbursement, and Administrative Policy Updates
  • Precertification Updates
  • High Tech Radiology Site of Care
  • Quicker Options to Submit Pended Claim Documentation
  • Physician Quality and Cost-Efficiency Reconsideration Requests
  • Medical Record Requests
  • And More

Medical Coverage Policy Updates (July 2020) – new and revised medical coverage policies

Updated claim payment policies (July 2020) – COVID-19 related coding and more

 

MLN Connects Newsletters

  • COVID-19 Impacts on Medicare Beneficiaries – Updated Data
  • Physician Fee Schedule Proposed Rule Listening Session: Register Now
  • MACs Resume Medical Review on a Post-Payment Basis
  • Renewed ABN: Deadline Extended to January 1
  • And more

COVID-19 Information & Resources

  • Telehealth Services (7/24/20)
  • Testing, Treatment, Coding & Reimbursement (7/24/20)
  • Prior Authorization & Ongoing Patient Care (7/24/20)
  • Credentialing & Contracting (7/24/20)
  • Practice Administration (7/24/20)

UHC Network Bulleting July 2020

  • New, Streamlined Link Experience Launching in July
  • Retiring Admission Notification Fax Numbers
  • Preferred Lab Network Expansion
  • Prior Authorization and Notification Requirement Updates
  • Medical Policy Updates
  • New Release for UnitedHealth Premium® Program
  • Reimbursement Policy Updates
  • Prior Authorization and Site of Service Reviews
  • And more