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Updated payment policies now available
December 31, 2021

This article is for all providers caring for our members

The following payment policies, updated in Q4 2021, are now available on Provider Central:

  • Bilateral Services
  • COVID-19 Public Health Emergency temporary payment policy
  • CPT and HCPCS Modifiers
  • Drug Testing
  • Evaluation and Management
  • Expanded Molecular Panel Testing of Cancers
  • General Coding and Billing
  • Immunizations
  • Inpatient Acute Medical Admission
  • Laboratory and Pathology
  • Mental Health and Substance Use1
  • Non-Reimbursable Services
  • Oncology
  • Radiology
  • Radiology - Multiple Imaging
  • Telehealth - Medical
  • Telehealth - Mental Health2
  • Urgent Care Center

To download our payment policies, log in and click Find a Payment Policy on the right side of your home page. Or, go to Office Resources>Policies & Guidelines>Payment Policies.

1. Previously named Behavioral Health and Substance Use
2. Previously named Telehealth - Behavioral Health