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Home > Claims Policy and EDI Documents
 

Claims Policy and EDI Documents

Health Plus has implemented nationally recognized enhancements to our claims payment policies. We will continue to follow the guidelines set forth by the national Correct Coding Initiative (CCI). Our claims payment policy enhancements are based on nationally accepted guidelines, such as Medicare’s national bundling edits (including the CCI), Medicare’s modifier usage, Medicare’s global surgery rules, AMA CPT coding guidelines, regional Medicare policies, and national specialty academy guidelines (coding and clinical). More information regarding these enhancements can be found in the Frequently Asked Questions (FAQ) document below.

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