Current News

Importance of Submitting Continued Stay Reviews Properly in Cohere Health

Prior Authorization | March 25, 2026

Review the importance of submitting Continued Stay Reviews in Cohere Health.

New Phase Added to ClaimsXten

Claims | March 9, 2026

Review the latest updates for ClaimsXten.

Updated MOON Notice and Requirement for Medicare Advantage

Medicare Advantage | March 25, 2026

Review details on the updated Medicare Outpatient Observation Notice for our Medicare Advantage plans.

Updates on Lupron Depot Injections for State Health Plan Members

Benefits | March 11, 2026

See an important update for our State Health Plan members regarding Lupron Depot injections.

Upcoming Post-payment Review Process Changes for Group and Individual Plans

Claims | March 9, 2026

Review the upcoming changes to the post-payment review process for our group and individual plans.

2026 February Medical Policy Updates

Medical Policies | March 4, 2026

Here are the latest medical policy updates.

Reminder: High Dollar Pre-payment Review Process

Claims | March 3, 2026

Review important details about the high dollar pre-payment review process.

Update to Pharmacy Benefit Drug Prior Authorization Process for Exchange Members

Pharmacy,Prior Authorization | February 5, 2026

Learn more about the upcoming changes to the pharmacy benefit drug prior authorization process for our Exchange plans.

2026 January Medical Policy Updates

Medical Policies | February 3, 2026

Here are the latest medical policy updates.

New Year, Same 90-Day Validation Requirements

Enrollment | January 6, 2026

Remember to complete your provider validations at least every 90 days.

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