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Updated payment policies now available
July 1, 2021

This article is for all providers caring for our members

The following payment policies, updated in Q2 2021, are now available on Provider Central:

  • Anesthesia
  • COVID-19 Public Health Emergency
  • CPT and HCPCS Modifiers
  • Dental Care
  • Durable Medical Equipment
  • Electronic Funds Transfer (EFT)
  • Evaluation and Management
  • Free-Standing Ambulatory Surgical Center (ASC)
  • Gastroenterology
  • General Coding and Billing
  • Home Health Care
  • Home Infusion
  • Hospice
  • Human Leukocyte Antigen
  • Immunizations
  • Maximum Units
  • Medical Nutrition Therapy/Licensed Dietician Nutritionist
  • Non-Reimbursable Services
  • Obstetrical and Maternity Care
  • Skilled Nursing Facility
  • Surgery-Professional

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.