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Provider Payment Guidelines

IMPORTANT COVID-19 INFORMATION: During the COVID-19 public health emergency, some of our payment policies may be superseded by the information on our COVID-19 FAQ.

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Policy payment guideline listing

A - E
Acupuncture Services
Allergy Testing and Allergy Immunotherapy
Ambulance
Ambulatory Surgical Centers
Anesthesia
Bariatric Surgery
Chiropractic Services
Community Health Centers
Covid-19 Payment Policy
Dermatology
Durable Medical Equipment
Early Intensive Behavioral Intervention Services
Enteral Formulae Parenteral Nutritional Solutions
Evaluation and Management Services
F - M
Fee Schedule Update Policy
General Coding and Billing
Hearing Aids
Home Health Care Agency
Home Infusion Therapy
Hospital at Home
Hospice
Imaging Services
Inpatient Hospital Admissions
Inpatient Rehabilitation and Long-term Acute Care (LTAC)
Laboratory and Pathology
Late Charge Billing
Maximum Units
Medical Nutritional Counseling and Diabetes
Mid-Level Practitioners
Modifiers
N - Z
Nail Debridement
Newborn Care (Inpatient)
Observation
Obstetrical Services
Oral Maxillofacial Surgery
Out of Network Provider Services
Outpatient Clinic Services - Facility
Outpatient Physical, Occupational & Speech Therapy
Payment Disputes
Physician Administered Medication
Preventive Services
Provider Audit Policy
Retail Clinic
Robotic Assisted Surgery
Routine Foot Care
Serious Reportable Events & Provider Preventable Conditions
Skilled Nursing Facilities
Sleep Studies and Therapy Management
Spine Surgery
Standard Blood Products and Services
Telemedicine
Urine Drug Testing
Vaccines and Immunizations
Vision Services

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Questions about payment policies?

Call provider services at 855-444-4647