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What's New

Posted Mar 03, 2021
Introducing ClaimsXten™

ClaimsXten is coming to Healthfirst May 2021

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Posted Jan 28, 2021
Removal of Service Limits: Physical Therapy, Occupational Therapy, and Speech Therapy

Learn more about which plans are affected

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Posted Jan 19, 2021
Celebrating our achievements!

Congratulate our top performers

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Posted Oct 30, 2020
Reimbursement Policy Updates: Effective December 1, 2020

Learn more about changes to our reimbursement policy

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Posted Oct 12, 2020
Medical Record Requests for Risk Adjustment Data Validation (RADV) Surveillance Audit Program

Learn more about the coding and documentation audit coming in December 2020

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Posted Oct 09, 2020
Smoking Cessation Counseling

Learn more about upcoming benefit changes

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Posted Sep 25, 2020
Reimbursement Policy Updates: Effective November 1, 2020

Learn more about changes to our reimbursement policy

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Posted Sep 21, 2020
Prior Authorization for Molecular & Genomic Testing Procedure Codes and Descriptions

Access procedure codes and more

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Posted Sep 21, 2020
COVID-19: Telehealth Policies

Stay current on the latest changes

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Posted Sep 04, 2020
Non-Dental Practitioner Application of Fluoride Varnish in a Primary Care Setting

Fluoride varnish can be applied by multiple primary provider types

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Posted Aug 28, 2020
Policy Reminder: Healthfirst Anatomical Modifier Requirement for Surgical Procedures

Anatomic-specific modifiers should always accompany applicable CPT/HCPCS codes

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Posted Aug 21, 2020
Billing Guidance to Pharmacies for COVID-19 Testing

Learn more about how pharmacies may now bill for COVID-19 testing

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