Point32Health announced in the August issue of Insights and Updates for Providers that we are making updates to align our claims editing platforms in an effort to consistently apply industry standard claims edits and national correct coding.
While we originally indicated that these updates would apply for claims with dates of service on or after Oct. 1, 2024 for our Tufts Health Medicare Preferred members, we’ve encountered some delays in this implementation. Providers can expect to begin seeing edits associated with this claims editing platform update as of Jan. 1, 2025.
Look to future issues of Insights and Updates for Providers for any further updates on this initiative.