Watch for New Digital Interfaces To Simplify Prior Authorization Requests

Starting Jan. 1, 2027, we’ll offer application programming interfaces to simplify prior authorization requests and give you quicker access to your patients’ information.

Maximize Patient Safety Through MedWatch Program

The U.S. Food and Drug Administration’s MedWatch program provides alerts about recalls and allows you to report concerns. Learn how to sign up for alerts and submit reports.

Review Updates to Explanation of Payment and EDI 835

We’ve enhanced the Explanation of Payment and EDI 835 to provide more information about overpayment recoupments, current recoupment activity and outstanding balances.

New Online Form To Add Practitioners and Update Locations Is Now Available

Through our Provider Data Intake form, you can add new practitioners and service locations to your practice information.

Take Note of Prior Authorization Changes

We’ve updated prior authorization requirements to reflect new, replaced or removed codes. Changes are effective Oct. 1 and Nov. 1, 2026, and Jan. 1, 2027.

Check Fax Settings To Ensure You Receive Our Communications

Some faxed communications from HealthSpring may not be reaching your office because your fax machine, phone service or security system may automatically block or filter certain incoming faxes. See a list of our fax numbers to check that they’re on your approved list.

Review Medical Policies

Approved new or revised medical policies are published on our website. Medical policies serve as one of the sets of guidelines for coverage decisions. Some benefit plans may not provide coverage for certain services discussed in the medical policies. Members may call the number on their ID card for specific coverage information.