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Reimbursement Policies

Updated April 2021

 

These policies serve as a guide to help providers submit claims correctly and to outline the basis for reimbursement if the service is covered by a UniCare member's benefit plan. Please see the individual policies for more details on requirements and updates, which will be posted as they become available.

UniCare’s New Reimbursement Policy onFee Schedule Development and Maintenance

UniCare uses commercially reasonable efforts to update all applicable new and updated codes within 60 days of release by the Centers for Medicare & Medicaid Services or other applicable authority. When billing codes are updated, the provider is required to use appropriate replacement codes for claims for covered services.

Reimbursement Policy on Fee Schedule Development and Maintenance

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