If you are a provider that accepts members with Fidelis Medicare plan, then this blog post is for you.
New prior authorization requirenments start for various services: listed below, for any DOS 4/1/26 and thereafter.

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- NY UHC Community Plan- no payment for 97161-97168 codes
- NM UHC Community plan- avoiding costly denials
- FidelisCare: pre- pay claim review for COB – third party payers
- Tobacco screening services- proper coding and billing- UPMC Community Behavioral Health Org:UPMC Community Behavioral Health Org
- Are you using the proper Anesthesia codes for fascial plane blocks?

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