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Priority Health claim payments will come from Optum Financial and ECHO starting in 2027
Act
by Dec 31, 2026
Effective date
Jan 1, 2027
Identified
Nov 6, 2026
Summary
Starting with dates of service on or after January 1, 2027, claim payments, remittance advices (835s), and 1099s for Priority Health plan members will come from Optum Financial in partnership with ECHO Health, Inc. instead of Priority Health's current system; claims with dates of service on or before December 31, 2026 continue to be paid by the current system, so payments may come from both systems during the transition. The practice's billing team should update its payment posting, EFT/remittance setup, and reconciliation processes for these claims.
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What to do
by Dec 31, 2026 · 3 steps
01Confirm enrollment status for Priority Health claim payments in the Priority Health payment information packet, and enroll in EFT through ECHO if the practice wants electronic payment (otherwise paper checks will be issued).
02By January 1, 2027 (dates of service on or after this date): Update payment posting and remittance (835) import workflows in the practice management system so that Priority Health payments and 1099s are expected from ECHO, and have the billing team reconcile payments received from both the current Priority Health system and ECHO during the transition period, since resubmitted claims may pay from either source.
03Tell front desk and billing staff that payment source changes by date of service, and watch for further Priority Health or Cigna notices regarding the transition.
Original notice
Priority Health claim payments will come from Optum Financial and ECHO starting in 2027
providernewsroom.com · Always check the source before changing claims.