Home > Claims, Coding, Payment
Web Content Viewer
Web Content Viewer
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.

2/12/24 Billing reminder: RSV vaccine for pregnant women
1/4/24 Updated payment policies now available
12/13/23 Preparing for HEDIS 2024 medical record collection
11/9/23 CPT 97535 now reimbursable via telehealth
11/2/23 COVID-19 payment policy updates
11/1/23 Coming soon! January 1 monitored anesthesia care claim edits
11/1/23 Reminder: Obstetric E/M services not separately reimbursed
10/31/23 Reminder: Incidentals related to emergency room visit
10/18/23 COVID-19 labs with outpatient surgery not separately reimbursed
10/2/23 Updated payment policies now available
10/2/23 Fourth quarter 2023 hospital outpatient drug fee schedule posted
9/29/23 Billing guideline updated with HIV PrEP-related diagnosis code
9/6/23 Reducing cost barriers to improve access to mental health care
9/1/23 Revised medical necessity criteria for benign skin lesions
8/24/23 Learn to use our CDT lookup tool in just 3 minutes
8/21/23 How to request and bill for ketamine and esketamine
8/10/23 Save time by looking up CDT codes online!
8/3/23 Services related to outpatient surgery not separately reimbursed
8/1/23 Reminder for January 1 monitored anesthesia care claim edits
8/1/23 We will no longer reimburse specimen collection code 99001
7/1/23 Third quarter 2023 hospital outpatient drug fee schedule posted
6/30/23 Updated payment policies now available
6/1/23 We’ve simplified our ABA authorization response process
5/1/23 Important inpatient billing guidelines
3/31/23 Updated payment policies now available
3/31/23 Second quarter 2023 hospital outpatient drug fee schedule posted
3/24/23 Bill primary insurer first for tribal health program enrollees
3/22/23 New Equian addresses for pre-payment review