The federal No Surprises Act (H.R. 133, P.L. 116-260) requires providers and health plans to verify the accuracy of provider contact information every 90 days.

Complete the following steps every 90 days to attest, which fulfills the No Surprises Act requirement: 

Step 1: 

View/Update Demographic Information on Fulcrum's Provider Portal.

• Click on the location that you would like to view/update.
• Enter your updated information along with the effective date and then click the Submit button for your changes to be saved.

Step 2:

Attest

• Click on the NSA Attestation button and check the checkbox after reading the attestation and click Submit button.



If you need to add a location, or are moving locations, please review the instructions on the Demographic Updates tab on the portal for how to complete.

Thank you to those providers that participated in the 2023 Quality Incentive Program!

As a ChiroCare Center of Excellence or Gold tier assigned provider, you were able to receive incentive pay for submitting outcomes on an episode of care from 1/1/23 to 12/31/23.

Fulcrum is diligently working to develop additional initiatives and programs to recognize and reward our network providers for quality outcomes.

Please visit the Learning Hub within the Provider Portal to learn more about the 2024 Quality Rewards incentive standards for ChiroCare Centers of Excellence and Gold tier providers.

Fulcrum is simplifying the process of submitting Gold tier Quality OATs scores within QConnect. Watch for more information and instructions in April Newsflash and the Fulcrum Provider Portal Learning Hub.

We are now accepting applications from ChiroCare network providers who believe their clinics meet the Centers of Excellence (CCoE) criteria. The application period is now extended until April 30, 2024.

Fulcrum is excited to announce that the CCoE Self-Assessment, Application, and Attestation can now be completed online for administrative ease.

Please log into fulcrumproviderportal.com, go to Learning Hub tab and then the CCoE tab to access the necessary documents to apply and take the self-assessment.

If you have completed the CCoE self-assessment and received a passing score of 20 or higher, please consider completing the CCoE application.

Current CCoE's do not need to re-apply. Verification review of records begins March 2024.

We encourage you to take a close look at the CCoE program overview.

If you have any questions about the ChiroCare Centers of Excellence program, please contact Dr. Vivi-Ann Fischer v.fischer@fulcrumhealthinc.org.

In response to the Change Healthcare cyber incident, all providers (including MN) may submit paper claims via fax to (916) 929-5806.

Please refer to the home page of Fulcrum's Provider Portal for the most up to date information.

Change Healthcare is experiencing a cyber security issue, and their experts are working to address the matter. 

If you have chosen the Change Healthcare clearinghouse or have any business with Change Healthcare, you may be affected. Please reach out to Change Healthcare with any questions. 



If you have questions about your Remittance Advice, please contact Fulcrum's claims vendor, EviCore, at 888-638-7719 or check status at Login - CCMI Connect (lmhealthcare.com).