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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.

7/2/18 Updated 2018 list of durable medical equipment codes we reimburse
6/15/18 Submit replacements for partially denied claims starting July 1
5/22/18 Interim Caries Arresting Medicament
5/1/18 Venipuncture reported with Labs or E&M service
4/25/18 Use the Member ID when submitting dental claims
4/18/18 Advanced Bionics is now in-network for cochlear implant supplies
4/13/18 New messages on your electronic 277CA and submitter reports
3/30/18 Second quarter hospital outpatient drug fee schedule posted
3/27/18 Avoid denied claims: custom benefits and eligibility checks
2/13/18 Billing for services rendered to family members
12/22/17 2018 List of durable medical equipment codes we reimburse
12/19/17 Get the best results from your eligibility check
11/7/17 What to do about a dental claim overpayment
11/1/17 Moderate sedation reimbursement update
10/16/17 Speech-language pathologists: Billing for time-based therapy codes
10/12/17 Coding for beta-blocker treatment after a heart attack
10/12/17 Two new CDT codes for sedation from the ADA
9/27/17 October 2017 hospital outpatient drug fee schedule posted
9/18/17 Request adjustments for 21st Century Cures Act DME claims
9/6/17 Rejected dental claims: How to request a review or appeal
8/23/17 Autism Services payment policy clarification
7/24/17 2017 Surgical Day Care list updated
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