What's new in Network News
April 23, 2025
New York Medicaid: Prenatal and postpartum services require Category II CPT® codes
Submit claims with Category II CPT codes for prenatal/postpartum services to comply with NY state guidelines.
April 22, 2025
New changes: Close FUA and FUM gaps using qualified billing and diagnostic codes
You help can close FUA and FUM gaps using qualified billing and diagnostic codes.
April 21, 2025
June 6: Several documents going paperless
More letters and reconsiderations, pre-/post-service appeals going digital for Kentucky, Washington, D.C., Medicaid
April 17, 2025
New ORP claim denials for UnitedHealthcare Community Plan of Ohio
New ORP claim edits start May 1, 2025. Include NPI to avoid Y42 denials.
April 11, 2025
New UnitedHealthcare mailing address for contract notices
UnitedHealthcare has a new mailing address for contract-required notices.
April 01, 2025
Florida: TurningPoint to manage prior authorization process for musculoskeletal surgical procedures
Beginning May 1, 2025, TurningPoint will manage prior authorization requests for musculoskeletal surgical procedures.