Every year prior authorization requirements are subject to change; some codes are added while others are removed. Please see our prior authorization grid to confirm whether a service requires a prior...

Updates on Existing Criteria: November 2020. The following changes to criteria are effective November 22, 2020: Preauthorization Criteria – Clinical Updates...

See our FAQ, COVID-19 Provider Relief Plan and Other Frequently Asked Questions (pdf), for answers to questions we’ve received from our provider community in response to the COVID-19 Provider Relief...

Updates on Existing Criteria: October 2020. The following changes to criteria are effective October 22, 2020:
Preauthorization Criteria – Clinical Updates...

Teledentistry: what it is, and how it can help.

In our effort to support providers, we've compiled COVID-19-related answers to the most commonly asked questions about coding instructions, reimbursement provisions, telehealth, and more. We want to...

Updates on Existing Criteria Preauthorization Criteria – Clinical Updates Ferriprox and Exjade & Jadenu – Combine policies to create “Chelating Agents” Histrelin – Update...

Starting August 11, 2020, InTouch for Providers users will see the addition of Multi-Factor Authentication (MFA) to OneHealthPort’s Single Sign-On (SSO) service.

If you are currently enrolled to receive Electronic Remittance Advice (835), this enhancement will result in additional data you receive via 835 transaction on corrected claims.  The following...

The notification contains changes for the Preferred and state-based lists, as well as our medical utilization management criteria (preauthorization, step therapy criteria). See the July 2020 Drug...