We publish billing policies to offer transparency and help you bill claims more accurately to reduce delays in processing claims, as well as avoid rebilling and additional requests for information.
The following billing policies were recently published to or updated in our Provider Manual’s Billing Policies page.
Note: If the effective date is listed as N/A, the policy represents our current system set up and/or expectations for transparency. There are either no changes for you as the policy is already in effect or was recently shared with the network and we’re implementing a clinical edit in alignment with the policy’s language.
| Billing policy | Description | Effective date |
|---|---|---|
| New policies | ||
| High frequency chest wall oscillation | This policy shares industry standard coding and billing information | N/A |
| Updated policies | ||
| Drug testing | This policy was updated to reflect changes to drug testing frequency limitations. | Feb. 18, 2026 |
| Psychiatry and Psychology Services | This policy update was made for language changes and clarifications | N/A |
| Surgical Implants and Devices | This policy update provides information to support correct coding for implants in support of the denials/appeals we are receiving in relation to C1776. | N/A |