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Provider Payment Guidelines

Our Provider Payment Guidelines make it easy for you to know which medically necessary services are covered and under what conditions.

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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
Dermatology
Durable Medical Equipment
Early 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
Hospice
Imaging Services
Inpatient Hospital Admissions
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
Physician Administered Medication
Provider Audit Policy
Retail Clinic
Robotic Assisted Surgery
Routine Foot Care
Serious Reportable Events & Provider Preventable Conditions
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