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.
A
B
C
- Cardiology
- Care management services
- Chiropractic services
- Chronic pain management services
- Clinical edit
- Clinical trials
- Condition codes
- Critical care
D
E
G
H
I
L
M
- Malnutrition
- Miscellaneous DME
- Moh's micrographic surgery
- Musculoskeletal shoulder
- Musculoskeletal spine
N
O
P
- Partial Hospitalization Program (PHP)
- Positive airway pressure (PAP) devices for treatment of sleep apnea
- Professional and technical components status indicator
- Professional status indicator
- Prostate biopsy pathology
- Provider-based billing
- Psychiatry and Psychology services
R
S
- Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
- Sepsis
- Split billing
- Surgical dressings
- Surgical implants & devices
T
- Three-day window bundling
- Tracheostomy care supplies
- Trauma team activation
- Treatment rooms
- Trigger point injection services
U
W
- 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