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Alerts
  • Change Healthcare (CHC) has begun submitting some batch X12 electronic transactions to ForwardHealth. The volume of backlogged claims held by CHC and the amount of time it will take CHC to send them is unknown. Once claims are acquired from CHC, ForwardHealth will process them in the order received.

    Visit the Change Healthcare Service Interruption: Resources page for more information on the security incident and for ForwardHealth resources.

  • Multi-factor authentication (MFA) is now required for the secure ForwardHealth Portal. Providers are encouraged to refer to the ForwardHealth Multi-Factor Authorization Instruction Sheet for help setting up MFA preferences.
    Providers may contact their Portal account administrator or call the ForwardHealth Portal Help Desk at 866-908-1363. Note: This is a project-specific announcement and is not related to the Change Healthcare disruption.
ICD-10 Code Set Transition Home Page

ICD-10 Code Set Transition

Click here for the ICD-10 Code Set Testing Home Page for HMO testing information

ForwardHealth implemented International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) and International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS) code sets on October 1, 2015. ForwardHealth now requires ICD-10 diagnosis codes and ICD-10 procedure codes to be indicated, when applicable, on claim and prior authorization request submissions with dates (dates of service, dates of discharge, requested start dates, etc.) on and after October 1, 2015.

The ICD-10-CM codes are the diagnosis code set for use in U.S. health care settings.

The ICD-10-PCS codes are the procedure code set for use in U.S. inpatient hospital settings only.

ForwardHealth will enforce validity of ICD-10 diagnosis codes

Frequently Asked Questions About ForwardHealth's Transition to ICD-10

ICD-10 ForwardHealth Updates

2015-47 ForwardHealth Will Not Issue Interim Payments for Claims Delayed Due to Lack of ICD-10 Readiness, 9/29/15
2015-39 Effective Dates and Transition Information for ForwardHealth's Implementation of ICD-10 Code Sets, 8/21/15
2015-33 International Classification of Diseases, 10th Revision, Testing for HMOs, 7/22/15
2015-26 ForwardHealth International Classification of Diseases, 10th Revision, Open Testing Information, 6/8/15
2015-17 Important Information and Reminders Related to ForwardHealth's Transition to International Classification of Diseases, 10th Revision, Code Sets, 5/11/15
2015-15 Upcoming Training Sessions Available for Providers Regarding International Classification of Diseases, 10th Revision Readiness, 3/26/15
2014-31ForwardHealth International Classification of Diseases, 10th Revision, Clinical Modification and International Classification of Diseases, 10th Revision, Procedure Coding System Implementation Is Postponed, 4/23/14
2014-11ForwardHealth's Transition to International Classification of Diseases, 10th Revision, Clinical Modification and International Classification of Diseases, 10th Revision, Procedure Coding System Code Sets, 2/26/14
 
 
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