Reminders and Updates Archives - LifeWise Providers (WA)

Reminders and Updates

Fee Schedule Maintenance

October 1, 2026

Learn about upcoming changes for dates of service beginning January 1, 2027.

Reminders and Updates

Prior Authorization Required for Partial Hospitalization Programs Starting October 9

September 3, 2026

Submit prior authorization before treatment and complete ongoing medical necessity reviews.

Reminders and Updates

Massage Therapy Utilization Review Ends January 1, 2027

September 3, 2026

Learn about the end of utilization review for massage therapy services.

Reminders and Updates

Fee Schedule Maintenance Policy Updates

July 9, 2026

We’ve updated our Fee Schedule Maintenance Policy to be more transparent about the changes we make throughout the year to keep your fee schedule updated.

Reminders and Updates

Fee Schedule Maintenance for Ambulatory Surgical Centers

June 4, 2026

Review updated codes for ambulatory surgical center settings.

Reminders and Updates

Better Care Through Population Health

May 7, 2026

Learn about our NCQA-aligned population health focus.

Reminders and Updates

Reminder: Formulary Drug List Updates

May 7, 2026

Don’t forget to check our formulary drug list.

Reminders and Updates

Correct Coding Keeps Claims Moving

April 2, 2026

Avoid edits and denials by using accurate coding.

Reminders and Updates

Your Role in Breastfeeding Success

April 2, 2026

Strengthen breastfeeding with early and ongoing support.

Reminders and Updates

Formulary Drug List Updates

April 2, 2026

Keep up to date on changes to our formulary drug list.

Reminders and Updates

Screening for Intimate Partner Violence and Abuse

April 2, 2026

Ask simple questions to keep patients safe.

Reminders and Updates

Fee Schedule Maintenance for Ambulatory Surgical Centers

March 5, 2026

Review updated codes for ambulatory surgical centers.

Reminders and Updates

Corrected 1099‑MISC Forms Coming Soon

February 5, 2026

Get details on 1099‑MISC forms and updates mailing February 6.

Reminders and Updates

Radiation Therapy Billing Update for 2026

February 5, 2026

Learn how the new coding impacts radiation therapy.

Reminders and Updates

Routine Test Management Program is Live February 6

February 5, 2026

Review key information about the new program.

Reminders and Updates

Get Ready: Substance Use Disorder Compliance Starts February 16

February 5, 2026

Refresh your process before the federal rule begins.

Reminders and Updates

Preventive Vaccines: Coverage for Your Patients

February 5, 2026

Encourage patients to stay current on fully covered shots.

Reminders and Updates

Fee Schedule Maintenance for Ambulatory Surgical Centers

January 8, 2026

Review updated codes for ambulatory surgical center settings.

Reminders and Updates

Correct Modifiers Protect Payments

December 4, 2025

Use the right modifiers to stop claim denials before they start.

Reminders and Updates

Prepare Now: Substance Use Disorder Treatment

December 4, 2025

Secure consent before treating patients with substance use disorder.

Reminders and Updates

New Imaging Program Launches in January

December 4, 2025

Review key information about new imaging site of service.

Reminders and Updates

Expanded Coverage Coming Soon for Hearing Aids

December 4, 2025

Find out what’s changing to cover patients with hearing aids.

Reminders and Updates

New Screening Rules Start January 1

December 4, 2025

Get the new recommendations for cervical and breast cancer screenings.

Reminders and Updates

Ambulatory Surgery Center Fee Schedule Maintenance

August 7, 2025

Find out the new codes for an ASC setting.

Reminders and Updates

Drug Site-of-Service Program Updates

July 3, 2025

Additional drugs will require prior authorization under the drug site-of-service medical policy.

Reminders and Updates

Request a Call with a LifeWise Medical Director

July 3, 2025

Request a conversation using the phone number in the denial notification letter.

Reminders and Updates

Reminder: Genetic Testing Requires Prior Authorization

June 5, 2025

Reminders and Updates

Tips for EFT Registration Via InstaMed for Individual Plans

June 5, 2025

Reminders and Updates

Ambulatory Surgery Center Fee Schedule Maintenance

May 1, 2025

New April 2025 codes covered for ambulatory surgery centers.

Reminders and Updates

Fee Schedule Maintenance Update

April 3, 2025

We’re implementing updates to certain codes to establish fixed pricing methodologies.

Reminders and Updates

How to Submit a Corrected Claim

March 6, 2025

Follow these steps to avoid processing delays.

Reminders and Updates

Automatic Approvals for Individual Plans in Ambulatory Surgery Centers

February 6, 2025

Prior authorizations submitted for 8 specific procedures in ambulatory surgery centers will be automatically approved.

Reminders and Updates

Ambulatory Surgery Center Fee Schedule Maintenance

February 6, 2025

New ambulatory surgery center codes for 2025.

Reminders and Updates

Wintertime Reminder: Vitamin D Testing

February 6, 2025

Check before you test to make sure vitamin D screenings are medically necessary.

Reminders and Updates

Medical Records Requests for 2025

February 6, 2025

Here’s when you can expect them for 2025.

Reminders and Updates

Submitting Appeals

January 6, 2025

Sending one appeal per patient will help us process your appeals more quickly.

Reminders and Updates

What to Know About New Law Ensuring Access to Emergency HIV Post Exposure Prevention

December 5, 2024

Learn about new Washington state requirements for cost-sharing, prior authorization, and reimbursement for HIV post-exposure prophylaxis drugs.

Reminders and Updates

Drug and Biologic Edits

December 5, 2024

Additional information regarding new drug and biologic edits.

Reminders and Updates

Billing for Wasted and Administered Drugs

October 3, 2024

Drug waste will be reimbursed when billed with correct modifiers.

Reminders and Updates

Adding a Description for Unlisted Procedure Codes

October 3, 2024

Include a description of the service rendered when billing an unlisted procedure code.

Reminders and Updates

Air Ambulance Patient Transportation

7/8/2024

When is it appropriate for your patient?

Reminders and Updates

Refer Patients to In-Network Providers

07/08/2024

Help reduce your patients’ out-of-pocket costs.

Reminders and Updates

Preventive Service Updates Coming in July

June 6, 2024

Mark your calendar for benefit changes effective July 1.

Reminders and Updates

Durable Medical Equipment Modifiers and Units

May 2, 2024

Make sure to append the correct modifier and number of units.

Reminders and Updates

Provider Directory: Are You Verified?

March 7, 2024

Comply with No Surprises Act requirements and verify your information with BetterDoctor.

Reminders and Updates

New Search Function Launches on LifeWise Provider News Website

March 7, 2024

Find the articles you need easier than ever.

Reminders and Updates

New Payment Policy: Medically Unlikely Edits

March 7, 2024

Maximum daily units in claims editor explained.

Reminders and Updates

Flovent HFA Discontinued by GlaxoSmithKline

February 1, 2024

LifeWise is expanding its formulary to include generic Fluticasone HFA.

Reminders and Updates

InstaMed Updates Needed for Individual Plan Network Providers

February 1, 2024

Follow these simple steps to ensure you receive InstaMed autopayments in 2024.

Reminders and Updates

New Drug and Biologic Edits

February 1, 2024

New drug and biologic edits will be implemented to support medical and pharmacy policies.

Reminders and Updates

RA Modifier Pricing Update

February 1, 2024

90-day notice of changes for claims including an RA modifier.

Reminders and Updates

Yakima County Plan Changes for 2024

December 7, 2023

Learn about the Cascade Select plans coming to Yakima County.

Reminders and Updates

Dexcom G6 and G7 Transmitter and Sensor Failures

December 7, 2023

Recent sensor failures are not detecting correct blood sugar levels.

Reminders and Updates

Preventive Benefit Updates for January 1, 2024

December 7, 2023

Changes are in store for preventive benefits in 2024.

Reminders and Updates

Protect Your Patients’ Information

December 7, 2023

Prior authorization requests must be re-submitted if attachments for more than one member are included.

Reminders and Updates

Upcoming 2024 Claims Editing Projects

December 7, 2023

Upcoming 2024 claims editing projects.

Reminders and Updates

Speech Therapy Coding Changes Coming January 1, 2027

Fee Schedule Maintenance

Prior Authorization Required for Partial Hospitalization Programs Starting October 9

Massage Therapy Utilization Review Ends January 1, 2027

Fee Schedule Maintenance Policy Updates

Fee Schedule Maintenance for Ambulatory Surgical Centers

Better Care Through Population Health

Reminder: Formulary Drug List Updates

Correct Coding Keeps Claims Moving

Your Role in Breastfeeding Success

Formulary Drug List Updates

Screening for Intimate Partner Violence and Abuse

Fee Schedule Maintenance for Ambulatory Surgical Centers

Corrected 1099‑MISC Forms Coming Soon

Radiation Therapy Billing Update for 2026

Routine Test Management Program is Live February 6

Get Ready: Substance Use Disorder Compliance Starts February 16

Preventive Vaccines: Coverage for Your Patients

Fee Schedule Maintenance for Ambulatory Surgical Centers

Correct Modifiers Protect Payments

Prepare Now: Substance Use Disorder Treatment

New Imaging Program Launches in January

Expanded Coverage Coming Soon for Hearing Aids

New Screening Rules Start January 1

Ambulatory Surgery Center Fee Schedule Maintenance

Drug Site-of-Service Program Updates

Request a Call with a LifeWise Medical Director

Reminder: Genetic Testing Requires Prior Authorization

Tips for EFT Registration Via InstaMed for Individual Plans

Ambulatory Surgery Center Fee Schedule Maintenance

Fee Schedule Maintenance Update

How to Submit a Corrected Claim

Automatic Approvals for Individual Plans in Ambulatory Surgery Centers

Ambulatory Surgery Center Fee Schedule Maintenance

Wintertime Reminder: Vitamin D Testing

Medical Records Requests for 2025

Submitting Appeals

What to Know About New Law Ensuring Access to Emergency HIV Post Exposure Prevention

Drug and Biologic Edits

Billing for Wasted and Administered Drugs

Adding a Description for Unlisted Procedure Codes

Air Ambulance Patient Transportation

Refer Patients to In-Network Providers

Preventive Service Updates Coming in July

Durable Medical Equipment Modifiers and Units

Provider Directory: Are You Verified?

New Search Function Launches on LifeWise Provider News Website

New Payment Policy: Medically Unlikely Edits

Flovent HFA Discontinued by GlaxoSmithKline

InstaMed Updates Needed for Individual Plan Network Providers

New Drug and Biologic Edits

RA Modifier Pricing Update

Yakima County Plan Changes for 2024

Dexcom G6 and G7 Transmitter and Sensor Failures

Preventive Benefit Updates for January 1, 2024

Protect Your Patients’ Information

Upcoming 2024 Claims Editing Projects