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Priority Health

Nonprofit Maternal

Michigan nonprofit health plan whose May 11, 2026 bulletin told providers to begin using E/M codes for maternity services in June, making it one of the strongest early commercial implementation signals in the vault.

HQ

Grand Rapids, MI

Founded

1992

Website

priorityhealth.com

Payer Mix

Commercial Insurance, Employer Benefits, Medicaid

What They Do

Priority Health sells commercial, employer, Medicare, and Medicaid coverage and operates as a major Michigan payer. PHD tracks the plan because it publicly encouraged obstetric providers to start shifting prenatal billing workflows in mid-2026, well before the 2027 CPT changes formally take effect. On May 11, 2026, Priority Health published provider guidance telling practices to start using E/M codes for maternity services for patients beginning prenatal visits on or around June 1, 2026. Referenced in the August 21, 2026 deep dive as one of four commercial payers already converting maternity workflows.

Funding Rounds

No funding rounds on record for this company.

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