Provider Manual

• Get Started Guide
• Authorizations
• Billing & payment

  • › How to bill
  • › Clinical edits
  • › Code modifiers
  • › Coord. of benefits
  • › Employee billing
  • › Procedures & services

    • » After-hours services
    • » Anesthesia
    • » Anticoagulation management
    • » Behavioral health
    • » Certain surgeries
    • » Cerumen removal
    • » Chemo., Medicare
    • » DME
    • » DRGs & outliers
    • » Disease mgmt. education
    • » Emergency dept. visits
    • » EPSDT
    • » Flu shots
    • » Global surgical packages
    • » Group visits
    • » Hemodialysis
    • » Inject./infusions
    • » Inpt. admits, Medicare
    • » Lab procedures
    • » Manipulations
    • » MIHP
    • » Nutritional counseling
    • » Observation
    • » Office-based procedures
    • » Operating microscope
    • » Pharm. management
    • » Phone and e-visits
    • » Physical therapy
    • » Prenatal & delivery
    • » Preventive services
    • » Radiology
    • » Readmissions
    • » Spine COE
    • » Telemonitoring
    • » Vaccines
    • » Vision care
  • › Making corrections
  • › Reviews & appeals
  • › Overpayment /CBF
• Provider responsibilities and standards
• Performance programs
• Plans and benefits