Availity clearinghouse is now available for unsolicited EDI 275 claim attachments. See our growing list.

In January 2025, we made policy updates for weight loss and obesity medications for certain Massachusetts plans.

Register with Sandata and begin to use the state’s EVV system to avoid claim denials beginning on June 1.

Referrals for New York Medicaid members are required for only certain specialty services. View the latest requirements.

Submit claims with Category II CPT codes for prenatal/postpartum services to comply with NY state guidelines.

You help can close FUA and FUM gaps using qualified billing and diagnostic codes.