Updates & Announcements

Quick References

Pharmacy information, including our Preferred Drug Lists (PDLs)

Medical, pharmacy, reimbursement and administrative policies

We strive to make partnering with us simple. We’re aware things may change in the way we do business with you and want to communicate these changes to you in an efficient manner.

General Updates

2025Date
Policy Updates December 202512/01/2025
Policy Updates November 202511/01/2025
Reminder – Monthly Provider Connection Series10/20/2025
Submitting Abortion, Hysterectomy and Sterilization Consent Forms10/20/2025
Claims Editing – Add-On Codes, E/M and Special Services10/15/2025
Lymphedema Compression Treatment Items Claims Editing Enhancements10/15/2025
Claim Edits for Durable Medical Equipment10/15/2025
Newborn RSV Prevention10/15/2025
October 2025 Policy Updates10/01/2025
System Error Identified and Corrected09/11/2025
Policy Updates September 202509/01/2025
Policy Updates September 202509/01/2025
Front-End Claim Rejections08/26/2025
Monthly Provider Connections Series – Claims/Operations07/22/2025
EyeMed Policy Updates07/01/2025
Avesis Policy Updates07/01/2025
TurningPoint, Cardiac, MSK Policy Updates07/01/2025
Evolent Healthcare Advanced Radiology 2025 Guideline Updates07/01/2025
TrueCare Advanced Imagining and Cardiac Services Program in Partnership with Evolent – UPDATE06/27/2025
TrueCare Provider Portal Launch – Prior Authorizations Accepted June 23, 202506/20/2025
Equian Process Frequently Asked Questions06/04/2025
New Address for Refund Checks06/04/2025
Prior Authorization Requirement for Non-Emergent Neonatal Intensive Care Unit (NICU) Transfers and Transports06/03/025
TrueCare Cardiac and Musculoskeletal Surgical Quality and Safety Management Program in Partnership with TurningPoint06/03/2025
Evolent Advanced Imaging & Core Cardiac Prior Authorization Training06/03/2025
Availity Partnership05/30/2025