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Provider News - October 2025
Security Health Plan·Cardiology, Pulmonology, Sleep Medicine·Provider News
Effective date
Oct 1, 2025
We identified it
Jun 20, 2026
Summary
Security Health Plan has eliminated prior authorization requirements for echocardiograms and home sleep studies effective October 1, 2025, and will begin requiring claim change reason codes in Condition Code fields for adjustment/void facility claims starting January 1, 2026.
Action Required
Immediately: Update billing workflows to remove prior authorization requirements for echocardiograms and home sleep studies. By January 1, 2026: Billing team must update claim submission processes to include claim change reason codes in Condition Code fields when submitting adjustment or void facility claims to prevent claim rejections.