Uptick Health News & Insights

Blue Cross NC Ends Incident-To Billing, and E&M Leveling Is Next

Tue, 14 Jul 2026 18:39:20 GMT

Blue Cross NC ends incident-to billing for commercial plans on July 15 and launches an E&M leveling program on August 15. Also inside: Cigna Clearity goes live, Trillium moves physical health claims to a unified portal, UHC adds radiology authorization for Surest plans, and NC Medicaid managed care drops prior authorization for sleep studies.

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PA Reform Goes Big: UHC Cuts 30% of Prior Auths — and Isn't Alone

Fri, 01 May 2026 16:00:00 GMT

Six updates this month across four payers. UHC announces a 30% reduction in prior authorization requirements by year-end, BCBS NC launches year-round HEDIS medical record reviews, and new step therapy and PA rules for Part B biosimilars take effect. Plus: JW/JZ modifier enforcement from Anthem and a Medicaid work requirement timeline for NC practices.

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Q2 Kickoff: UHC PCP Referral Enforcement Starts May 1

Wed, 01 Apr 2026 16:00:00 GMT

Nine updates this month, three requiring immediate action. The biggest item: UHC Medicare Advantage HMO referral enforcement begins May 1. Also covered: NC Medicaid WellCare-to-CCH transition, Medicare skin substitute reimbursement changes, and UHC radiology billing policy updates.

Read the full update on Uptick Health