{"id":7636,"date":"2026-08-06T06:04:36","date_gmt":"2026-08-06T11:04:36","guid":{"rendered":"https:\/\/pmaworks.com\/observations\/?p=7636"},"modified":"2026-08-04T13:14:20","modified_gmt":"2026-08-04T18:14:20","slug":"updates-fulcrum-closure-august-31-2026","status":"publish","type":"post","link":"https:\/\/pmaworks.com\/observations\/updates-fulcrum-closure-august-31-2026\/","title":{"rendered":"UPDATES: Fulcrum Closure August 31, 2026"},"content":{"rendered":"<p style=\"text-align: center;\"><em><strong>Note:\u00a0 This article pertains mainly to offices in the Midwest, but you may find the information interesting if you live outside of the Midwest<\/strong><\/em><\/p>\n<p>Following up on my June article, I wanted to update you on insurance plans and who will be managing them at the time of this writing.\u00a0\u00a0 Plans and which company is managing them are quickly changing, but it\u2019s only fair to keep you in the know as these changes impact your bottom line and admin burden.\u00a0 \u00a0\u00a0Here is an updated listing of the payer groups and what is scheduled to happen now and going forward with contracts and claims:<\/p>\n<table width=\"678\">\n<tbody>\n<tr>\n<td width=\"234\"><strong>Plan<\/strong><\/td>\n<td width=\"444\"><strong>Managing company and other information<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"234\"><strong>Health Partners<\/strong><\/td>\n<td width=\"444\">Optum UHC is managing effective 7\/1.\u00a0 As of this writing, 1) no pre-auths\/clinical submissions are required, and 2) Use Health Partner\u2019s payer ID, 94267 for claims<\/td>\n<\/tr>\n<tr>\n<td width=\"234\"><strong>Cigna<\/strong><\/td>\n<td width=\"444\">Unknown at this time.\u00a0 Possibly direct-contract (groups only) or going to American Specialty Health.\u00a0 Continue sending claims per patient insurance card.<\/td>\n<\/tr>\n<tr>\n<td width=\"234\"><strong>Aspirus Medicare Advantage<\/strong><\/td>\n<td width=\"444\">Whole Health\/Tivity<\/td>\n<\/tr>\n<tr>\n<td width=\"234\"><strong>The Alliance<\/strong><\/td>\n<td width=\"444\">Whole Health\/Tivity<\/td>\n<\/tr>\n<tr>\n<td width=\"234\"><strong>Aetna<\/strong><\/td>\n<td width=\"444\">Whole Health\/Tivity<\/td>\n<\/tr>\n<tr>\n<td width=\"234\"><strong>Aspirus Commercial HMO<\/strong><\/td>\n<td width=\"444\">Unknown at this time<\/td>\n<\/tr>\n<tr>\n<td width=\"234\"><strong>Quartz<\/strong><\/td>\n<td width=\"444\">Direct contract only via invitation from Quartz<\/td>\n<\/tr>\n<tr>\n<td width=\"234\"><strong>Zelis <\/strong><\/td>\n<td width=\"444\">Direct contract for now<\/td>\n<\/tr>\n<tr>\n<td width=\"234\"><strong>WPS<\/strong><\/td>\n<td width=\"444\">Chiropractic Management Services, Brookfield, WI<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"text-align: center;\"><strong>Remember!<\/strong><\/p>\n<ul>\n<li>Tip: Use the actual payers\u2019 IDs for claims submission.<\/li>\n<li>Tip: Continue doing your financial consultations after verifying new patient benefits. Patients who are already in the middle of a care plan shouldn\u2019t need a separate exam due to the above changes.<\/li>\n<\/ul>\n<p>Are patient pre-pay packages looking like a better option for you and your practice?\u00a0 Let us guide you within the can-do\u2019s and can\u2019t-do\u2019s to set up these plans!<\/p>\n<p>Additional Questions?\u00a0 We can help!\u00a0 And we will find an answer for you.<\/p>\n<p>Lisa<br \/>\n920-334-4561<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Note:\u00a0 This article pertains mainly to offices in the Midwest, but you may find the information interesting if you live outside of the Midwest Following up on my June article, I wanted to update you on insurance plans and who &hellip; <a href=\"https:\/\/pmaworks.com\/observations\/updates-fulcrum-closure-august-31-2026\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":9,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[702,176,7],"tags":[764,826,23,377,367,288],"class_list":["post-7636","post","type-post","status-publish","format-standard","hentry","category-ask-lisa","category-chiropractic-2","category-chiropractic-reimbursement-insurance","tag-ask-lisa","tag-fulcrum","tag-insurance","tag-michel","tag-petty","tag-reimbursement-2"],"_links":{"self":[{"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/posts\/7636","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/comments?post=7636"}],"version-history":[{"count":1,"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/posts\/7636\/revisions"}],"predecessor-version":[{"id":7637,"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/posts\/7636\/revisions\/7637"}],"wp:attachment":[{"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/media?parent=7636"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/categories?post=7636"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/tags?post=7636"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}