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Payer Policy Links


Insurance Company Reimbursement Policies and Medical Coverage Policies The links here have been checked as of 3/3/2017 and are working properly. Aetna - Clinical Policy Bulletins Anthem Blue Cross - Medical Policies by Alpha Index Blue Cross Blue Shield of Florida - Medical Coverage Guidelines Blue Cross Blue Shield of North Carolina- Medical Policies by Alpha & Categorical Index California Worker's Comp (DWC) - Regulations & Fee schedules from 2005 through 2015 for various specialties:

  • Ambulance, Ambulance fees
  • Durable medical equipment, prosthetics, orthotics and supplies
  • Inpatient hospital
  • Medical-legal
  • Outpatient hospital
  • Pathology and clinical laboratory
  • Pharmaceuticals
  • Physician services

CIGNA - Clinical, Payment & Reimbursement Policies NCCI Edits from CMS NCD/LCD Search for CMS - Medicare. NCDs for LABS from CMS Empire Blue - Medical Policies by Alpha Index Empire Blue - Payment Policies Alpha Index Highmark Blue Shield Medical Policies - Alpha Index Humana - Coverage Issues for Humana MedMutual of Ohio - Corporate Medical Policies Alpha Index Oxford Health Plan> - Medical & Administrative Policies Tufts Health Plan - Medical Necessity Guidelines United Healthcare - Medical Policies United Healthcare - Reimbursement Policies Wellmark Blue Cross Blue Shield - Medical Policies in Alphabetical Listing