Provider News Archive
Find archived provider news stories.
The LifeWise Provider News page has moved
Visit and bookmark our new page to find out about our latest updates and exciting new changes
Policy update
Find recent medical policy and coding updates and payment policy updates.
Online tools and resources
Support for You to Improve Health Equity and Patient Lives | 11/7/23
LifeWise is working to reduce health disparities in marginalized groups
Helping Members Understand How to Make Health Decisions | 11/6/23
Decision aids are available to help patients understand their options for healthcare
Getting Diabetic Retinal Eye Exam Results into Medical Records | 8/3/23
An easy tool for documenting and sharing diabetic retinal eye exam results
Learn More About Our Networks | 6/1/23
The Provider Network Guide is one stop for details for all the networks associated with LifeWise and affiliates
Tool for Documenting Diabetic Retinal Eye Exam Results | 2/2/23
Assist your patients in getting their diabetic retinal eye exam results
Company updates
The LifeWise Provider News Page has Moved | 1/5/24
Visit and bookmark our new page to find out about our latest updates and exciting new changes
Act Now to Receive InstaMed EFT Payments in 2024 | 11/6/23
Individual plan network providers may need to update their InstaMed accounts
Introducing Rx Savings Solutions | 10/24/23
A tool to help your patients control their prescription drug costs
InstaMed Account Updates for Individual Plan Providers | 10/5/23
Providers with individual plan patients may need to update their InstaMed accounts
Annual Risk Adjustment Data Validation Audit | 7/6/23
Provider offices may receive a request for medical records from Cognisight or directly from LifeWise
Reminders and updates
New COVID Vaccines Available | 11/6/23
Updated information on COVID vaccines, billing, and codes
UPDATE: Optum Financial Moves to Virtual Credit Card (Vcard) Payment | 10/5/23
Window for processing Vcards before a check is sent moving from 45 days to 30
Shining a Light on At-Home Treatment Options for Skin Conditions | 10/5/23
Consider at-home photo therapy as a potential treatment option before opting for biologics
Modifier 90 Reference/Outside Laboratory Policy Expansion to Include Facility Claims | 9/8/23
Facility claims submitting lab services with Modifier 90 will be denied reimbursement
Consultation Code Services Payment Policy Expanding to Include Alaska Providers | 9/8/23
New policy takes effect December 11, 2023
Quality programs
Blood Pressure Coding Can Reduce HEDIS® Medical Record Requests | 10/5/23
Add CPT® II codes to patient claims to close gaps in care for patients
Remind Your Eligible Patients to get Regular Mammograms | 10/5/23
Regular screenings lead to better outcomes
2022 Practitioner Survey Results: Medical and Behavioral Health Collaboration | 4/6/23
Sharing information about the patient’s treatment plan and prescribed medications improve coordination and safety for patients accessing behavioral healthcare services
Helping Patients Who Use the Emergency Department for Migraines | 3/2/23
Learn about informative migraine materials you can share with your patients
High Blood Pressure Educational Mailing | 12/1/22
LifeWise is providing members with winning tips for a healthy heart
Pharmacy news
Update to Preventive Services Drug Coverage | 11/6/23
Learn about age-specific ranges we’ll be applying to preventive prescription drugs
Makena and Hydroxyprogesterone Market Withdrawal | 5/4/23
The FDA announced the decision to withdraw the approval of Makena and Hydroxyprogesterone caproate injections on April 6, 2023
Kroger- Express Scripts Termination Reminder | 1/5/23
We encourage members to sign in to the LifeWise member portal to find other local, in-network pharmacy options
COVID-19 Booster Shots for Kids 5-11 Years of Age | 6/2/22
Codes and eligibility now available for COVID-19 booster shots for children ages 5-11
Clinical Pharmacist will Conduct Medical Benefit Drug Reviews | 12/2/21
Starting January 1, LifeWise clinical pharmacists will be reviewing medical necessity for drugs requested through the medical benefit