Billing & coding policies
Below are Priority Health's medical claims payment policies. This information may help providers bill claims more accurately to reduce delays in processing, as well as avoid rebilling and additional requests for information.
- Balance billing policy
- Clinical edit policy
- Duplicate claims policy
- Evaluation and management policy
- General coding policy
- Inpatient only procedures policy
- Observation stays policy
- Ostomy supplies policy
- Professional status indicator policy
- Provider-based billing policy
- Readmissions reimbursement policy
- Split billing policy
- Surgical implants & devices policy
- Unbundling policy
- Urological supplies policy
- Status claims
- Claims Inquiry tool guide
- Edits Checker tool guide
- Claim deadlines
- Set up electronic payments
- BH provider billing
- Facility billing
- Advanced practice professional billing
- Professional billing
More billing topics:
- ACA non-payment grace period
- Ambulatory surgery center billing
- Balance billing
- Clinical edits
- Check reissue procedure
- COB: Coordination of benefits
- Correcting claims
- Correcting overpayments & underpayments
- Diagnosis coding
- Drug Coverage
- Dual-eligible members
- Front-end rejections
- Gender-specific services
- Medicaid billing
- Modifiers
- NDC numbers on drug claims
- Office-based procedures billing
- Risk adjustment
- Unlisted codes, drugs & supplies