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Providers
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IMPORTANT COVID-19 INFORMATION: During the COVID-19 public health emergency, some of our payment policies may be superseded by the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.
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
Questions about payment policies?
Call provider services at
855-444-4647
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