Fulcrum recently informed providers that it will continue to accept claims dated June 30, 2026.
Claims for dates of service on or before June 30, 2026, must be submitted to Fulcrum no later than end of day July 17, 2026. Fulcrum intends to complete claims repricing by August 31, 2026, with final adjudication and payment completed by Quartz.
Please submit all claims and dispute/reconsiderations for DOS June 30, 2026, and prior to Fulcrum by July 17, 2026. After this date, they will no longer accept claims.
Prior authorization will discontinue for DOS after June 30, 2026. Fulcrum will not prior authorize care for dates of service beyond June 30, 2026, as claims for services after that date will not be processed or paid by Fulcrum.
At this time, Quartz will be processing its own claims; it will not require prior authorization for chiropractic services beyond DOS June 30, 2026.
What you can do next:
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- Review Fulcrum’s communications outlining operations and expectations through June 30, 2026.
- Consult the linked Frequently Asked Questions (FAQ), which provides detailed guidance on working with Quartz, including:
- Contracting approach
- Quartz member impact
- Claims submission processes
- Prior authorization for services
- Provider portal access
We will continue to share updates and tools to support a smooth transition. Please reach out with any questions—our team is committed to partnering with you to ensure success.