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Important reminders about our new claim dispute process
Priority Health·Claims & Billing
We identified it
Jun 23, 2026
Summary
Priority Health has implemented a new two-level claim dispute process that requires providers to use the prism online portal instead of phone calls for submitting disputes. Level 1 disputes must include supporting documentation, and providers can escalate to Level 2 if they disagree with the initial decision.
Action Required
Immediately: Billing team must transition from phone-based claim disputes to using Priority Health's prism online portal. Train staff to submit Level 1 claim disputes through the 'Contact us about this claim' option in prism, ensuring all required documentation is uploaded and a clear summary is provided in the message field. For unsuccessful Level 1 disputes, submit Level 2 disputes through prism rather than attempting to reopen closed Level 1 disputes. Disputes without proper documentation will not be processed.