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Reimbursement Policies

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Reimbursement Policies

04/16/2025
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The following reimbursement policies have been updated. If the policy name does not have a company name shown, the policy applies to both EmblemHealth and ConnectiCare. See their revision histories for effective dates and applicable changes:

  • Bundled Services (Commercial and Medicare).
  • ConnectiCare Modifier Reference Reimbursement Policies.
  • EmblemHealth Modifier Reference Reimbursement Policies.
  • ConnectiCare Discarded Drugs/Biologicals – Modifier JW (Commercial).
  • EmblemHealth Discarded Drugs/Biologicals – Modifier JW (Commercial).
  • ConnectiCare Coding Edits Policy Reimbursement Policies.
  • EmblemHealth Coding Edits Policy Reimbursement Policies.
  • EmblemHealth Commercial Preventive Care Services.
  • ConnectiCare Commercial Preventive Care Services.

JP 68975 04/2025

 

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Any information provided on this Website is for informational purposes only. It is not medical advice and should not be substituted for regular consultation with your health care provider. If you have any concerns about your health, please contact your health care provider's office.

Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your  plan. Please refer to your Membership Agreement, Certificate of Coverage, Benefit Summary, or other plan documents for specific information about your benefits coverage.

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