Insurance Committee - New York State Chiropractic Association

Highmark Effective Date moved to May 1

by Insurance Committee | Mar 26, 2024 | Commercial Insurance, Highmark, Insurance Updates, Members Only

On March 25th, Highmark of WNY and NE NY posted a Special Bulletin in their Provider Resource Center for each region of New York. In that notice, Highmark noted they have ‘decided to move back the effective date from April 1, as previously announced, to...

Highmark to Implement a Prior Authorization Program

by Insurance Committee | Mar 22, 2024 | Commercial Insurance, Highmark, Insurance Updates, Members Only

As noted in our previous communication, Highmark BCBS of Western NY and Northeastern NY is implementing a prior authorization program for certain services rendered by DCs, PTs, OTs and home care providers. This program only applies to Highmark’s commercial...

Urgent: WNY and Northeaster NY Highmark Prior Authorization

by Insurance Committee | Mar 12, 2024 | Commercial Insurance, Highmark, Insurance Updates, Members Only

As previously reported, Highmark is planning to implement a prior authorization program for chiropractic care, physical and occupational therapy, and home health care effective on April May 1, 2024. Highmark recently updated their provider...

Healthcare Data Breaches and Your Practice

by Insurance Committee | Mar 5, 2024 | Also in the News, Compliance, Members Only

Cyber-crimes in the healthcare industry are on the rise in the United States. A recent attack on Change Healthcare, for instance, has resulted in the disruption of eligibility verification, prior authorization processing, and claims payments. According...

How the Change Healthcare Breach Is Impacting Claims, Eligibility Checks, and Provider Payments

by Insurance Committee | Mar 5, 2024 | Commercial Insurance, Insurance Updates, Members Only, UHC

Are your payments at risk? Challenged with Eligibility? As some of you are aware, Change Healthcare – part of the Optum division of UnitedHealth Group – experienced a cybersecurity breach on 2/21/24. Change Healthcare is utilized by different...