Did You Get a Medical Records Request from Datavant?

by Stephanie Davidson | Aug 18, 2026 | MAC Matters

Here’s What You Need to Know About HHS-RADV Audits The MAC office has gotten calls regarding medical record requests from Datavant for Medicare Plus Blue patients. Datavant, formerly CIOX Health, conducts audits under the Health and Human Services-Risk Adjustment Data...

REMINDER: Priority Health New Provider Portal: What You Need to Know

by Stephanie Davidson | Jul 8, 2026 | Action Reports

Important Dates to Remember: June 15, 2026: Site Administrator Setup and Site Creation Begins August 3, 2026: User Registration Opens September 1, 2026: New Provider Portal Scheduled to Go Live Priority Health is launching a new Provider Portal, powered by Epic, which...

Medicare – Chiropractor Error Rate Improving, But Still Areas of Concern

by Stephanie Davidson | Jun 5, 2026 | Action Reports, Uncategorized

“Insufficient Documentation” Remains #1 Reason for Improper Payments By:        Stephanie Davidson, MAC Insurance Director Data released by the Centers for Medicare and Medicaid Services (CMS) shows that the improper payment rate for chiropractic services in Medicare...

UnitedHealthcare to Eliminate Prior Authorization Requirement for Chiropractic Care

by Stephanie Davidson | May 9, 2026 | MAC Matters, MAC News, Uncategorized

Requirement Should Be Lifted Prior to the End of 2026 By:        Stephanie Davidson, MAC Insurance Director Last week, UnitedHealthcare announced that they are eliminating prior authorization (PA) requirements for 30% of healthcare services that previously required...

Good News: Blue Cross Pauses Proposed Modifier 25 Policy

by Stephanie Davidson | Apr 15, 2026 | MAC News

Reduction Was Scheduled to Begin May 1st By: Stephanie Davidson, MAC Insurance Director  Earlier today, it was announced that Blue Cross and Blue Care Network are “pausing” implementation of their proposed new modifier 25 policy that would have reduced payment by 50%...