The following reimbursement policies have been updated. Please refer to the website applicable to the member’s plan (EmblemHealth | ConnectiCare) and see the revision histories for effective dates and applicable changes. Laboratory Benefit Management program policies have “(LBM)” at the end of their names.
- Ambulatory Surgical Groupers Reimbursement Policy.
- Bundled Services.
- Compression Garments Reimbursement Policy.
- Evaluation of Dry Eyes Testing (LBM).
- Intracellular Micronutrient Analysis (LBM).
- Lyme Disease Testing (LBM).
- Allergen Testing (LBM).
- Biomarker Testing for Autoimmune Rheumatic Disease (LBM).
- Coding Edits Policy.
- Colorectal Cancer Screening (LBM).
- Diagnosis of Vaginitis (LBM).
- DME Rental vs. Purchase Reimbursement Policy.
- Flow Cytometry (LBM).
- Helicobacter Pylori Testing (LBM).
- Human Immunodeficiency Virus (HIV) (LBM).
- Modifier Reference Reimbursement Policy.
- Onychomycosis Testing (LBM).
- Parathyroid Hormone, Phosphorus, Calcium, and Magnesium Testing (LBM).
- Pediatric Preventive Screening (LBM).
- Prenatal Screening-(Nongenetic) (LBM).
- Prescription Medication and Illicit Drug Testing in the Outpatient Setting (LBM).
- Preventive Care Services Commercial and Medicare.
- Prostate Specific Antigen (PSA) Testing (LBM).
- Salivary Hormone Testing (LBM).
- Split/Fragmented Billing Reimbursement Policy.
- Thyroid Disease Testing (LBM).
- Urinary Tumor Markers for Bladder Cancer (LBM).
