COVID-19 UPDATE
Provides updated authorization, utilization review, and billing rules across inpatient, outpatient surgery, behavioral health, diagnostic testing, DME, imaging, therapeutic services, pharmacy and vendor services for Fidelis Care members (New York State focus). It lists CPT/HCPCS codes requiring prior authorization, codes excluded from authorization, delegated reviewers, and operational notification/fax numbers.
No material clinical/coverage changes — this update consolidates authorization, utilization review, delegation, code lists, and operational contacts but does not introduce a discrete material policy change.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.