Provider Payment Policies
The Health Plan recognizes that providers may be experiencing a decrease in revenue due to practice restrictions that have been established in response to the COVID-19 pandemic. We are working hard to improve the turnaround time for claims processing and payment for Commercial, Medicare and Medicaid claims.
During the COVID-19 pandemic, temporary measures were implemented to accelerate provider payments in order to allow for faster access to funding. These temporary measures do not pertain to self-funded groups. Should you require claims assistance, please feel free to contact us at 1.800.624.6961 or contact the practice management consultant assigned to your county.
- Never Events, Adverse Events, Hospital Acquired Conditions, Serious Reportable Conditions & Provider Preventable Conditions
- Non-Covered / Non-Reimbursable Codes