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Claims, Coding, Payment

In the “Current” tab, you’ll find news published during the past year. Use the “Archive” tab to view news going back an additional two years.

	10/29/24	Standard claims filing timelines return in December
	10/15/24	New coverage criteria for HIV PrEP for Medicare Advantage members
	10/2/24	Updated payment policies now available
	10/1/24	We will pay for inpatient stays until a member’s coverage ends
	10/1/24	Fourth quarter 2024 hospital outpatient drug fee schedule posted
	8/8/24	We have reconnected to Change Healthcare for some functionality
	8/5/24	Routine foot care is generally not covered for Medicare Advantage
	7/8/24	Billing reminder for drugs, biologicals, and drug wastage
	7/8/24	Easing ER strain with access to out-of-network urgent care
	7/1/24	Third quarter 2024 hospital outpatient drug fee schedule posted
	7/1/24	Updated payment policies now available
	6/5/24	Clarifying our NOC code supporting documentation requirements
	5/1/24	Reminder: CPT and HCPCS modifiers
	4/29/24	Services related to outpatient surgery not separately reimbursed
	4/1/24	Updated payment policies now available
	4/1/24	Second quarter 2024 hospital outpatient drug fee schedule posted
	3/21/24	Do not bill dually eligible members
	2/12/24	Billing reminder: RSV vaccine for pregnant women
	1/4/24	Updated payment policies now available