Current File : /var/www/html/higroup/6l6lscw/cache/324de5d66e1b3b8569b46ff727435c79
a:5:{s:8:"template";s:46130:"<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1">
<title>{{ keyword }}</title>
<link href="https://fonts.googleapis.com/css?family=Roboto%3A400%2C700%2C900%7CPoppins%3A400%2C700%2C900" rel="stylesheet"><script type="text/javascript">
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<style type="text/css">
img.wp-smiley,
img.emoji {
display: inline !important;
border: none !important;
box-shadow: none !important;
height: 1em !important;
width: 1em !important;
margin: 0 .07em !important;
vertical-align: -0.1em !important;
background: none !important;
padding: 0 !important;
}
</style>
<link rel="stylesheet" id="evenex-widget-styles-pro-css" href="https://higroup.coding.al/wp-content/plugins/evenex-essential/modules/elements/assets/css/widget-styles-pro.css?ver=1.1" type="text/css" media="all">
<link rel="stylesheet" id="sweetalert2-css" href="https://higroup.coding.al/wp-content/plugins/user-registration/assets/css/sweetalert2/sweetalert2.min.css?ver=8.17.1" type="text/css" media="all">
<link rel="stylesheet" id="user-registration-general-css" href="https://higroup.coding.al/wp-content/plugins/user-registration/assets/css/user-registration.css?ver=1.9.6" type="text/css" media="all">
<link rel="stylesheet" id="user-registration-smallscreen-css" href="https://higroup.coding.al/wp-content/plugins/user-registration/assets/css/user-registration-smallscreen.css?ver=1.9.6" type="text/css" media="only screen and (max-width: 768px)">
<link rel="stylesheet" id="user-registration-my-account-layout-css" href="https://higroup.coding.al/wp-content/plugins/user-registration/assets/css/my-account-layout.css?ver=1.9.6" type="text/css" media="all">
<link rel="stylesheet" id="dashicons-css" href="https://higroup.coding.al/wp-includes/css/dashicons.min.css?ver=5.8.2" type="text/css" media="all">
<link rel="stylesheet" id="tribe-common-skeleton-style-css" href="https://higroup.coding.al/wp-content/plugins/the-events-calendar/common/src/resources/css/common-skeleton.min.css?ver=4.13.0.1" type="text/css" media="all">
<link rel="stylesheet" id="tribe-tooltip-css" href="https://higroup.coding.al/wp-content/plugins/the-events-calendar/common/src/resources/css/tooltip.min.css?ver=4.13.0.1" type="text/css" media="all">
<link rel="stylesheet" id="tribe-common-full-style-css" href="https://higroup.coding.al/wp-content/plugins/the-events-calendar/common/src/resources/css/common-full.min.css?ver=4.13.0.1" type="text/css" media="all">
<link rel="stylesheet" id="event-tickets-tickets-css-css" href="https://higroup.coding.al/wp-content/plugins/event-tickets/src/resources/css/tickets-v1.min.css?ver=5.1.2.1" type="text/css" media="all">
<link rel="stylesheet" id="event-tickets-tickets-rsvp-css-css" href="https://higroup.coding.al/wp-content/plugins/event-tickets/src/resources/css/rsvp-v1.min.css?ver=5.1.2.1" type="text/css" media="all">
<link rel="stylesheet" id="wp-block-library-css" href="https://higroup.coding.al/wp-includes/css/dist/block-library/style.min.css?ver=5.8.2" type="text/css" media="all">
<style id="wp-block-library-theme-inline-css" type="text/css">
#start-resizable-editor-section{display:none}.wp-block-audio figcaption{color:#555;font-size:13px;text-align:center}.is-dark-theme .wp-block-audio figcaption{color:hsla(0,0%,100%,.65)}.wp-block-code{font-family:Menlo,Consolas,monaco,monospace;color:#1e1e1e;padding:.8em 1em;border:1px solid #ddd;border-radius:4px}.wp-block-embed figcaption{color:#555;font-size:13px;text-align:center}.is-dark-theme .wp-block-embed figcaption{color:hsla(0,0%,100%,.65)}.blocks-gallery-caption{color:#555;font-size:13px;text-align:center}.is-dark-theme .blocks-gallery-caption{color:hsla(0,0%,100%,.65)}.wp-block-image figcaption{color:#555;font-size:13px;text-align:center}.is-dark-theme .wp-block-image figcaption{color:hsla(0,0%,100%,.65)}.wp-block-pullquote{border-top:4px solid;border-bottom:4px solid;margin-bottom:1.75em;color:currentColor}.wp-block-pullquote__citation,.wp-block-pullquote cite,.wp-block-pullquote footer{color:currentColor;text-transform:uppercase;font-size:.8125em;font-style:normal}.wp-block-quote{border-left:.25em solid;margin:0 0 1.75em;padding-left:1em}.wp-block-quote cite,.wp-block-quote footer{color:currentColor;font-size:.8125em;position:relative;font-style:normal}.wp-block-quote.has-text-align-right{border-left:none;border-right:.25em solid;padding-left:0;padding-right:1em}.wp-block-quote.has-text-align-center{border:none;padding-left:0}.wp-block-quote.is-large,.wp-block-quote.is-style-large{border:none}.wp-block-search .wp-block-search__label{font-weight:700}.wp-block-group.has-background{padding:1.25em 2.375em;margin-top:0;margin-bottom:0}.wp-block-separator{border:none;border-bottom:2px solid;margin-left:auto;margin-right:auto;opacity:.4}.wp-block-separator:not(.is-style-wide):not(.is-style-dots){width:100px}.wp-block-separator.has-background:not(.is-style-dots){border-bottom:none;height:1px}.wp-block-separator.has-background:not(.is-style-wide):not(.is-style-dots){height:2px}.wp-block-table thead{border-bottom:3px solid}.wp-block-table tfoot{border-top:3px solid}.wp-block-table td,.wp-block-table th{padding:.5em;border:1px solid;word-break:normal}.wp-block-table figcaption{color:#555;font-size:13px;text-align:center}.is-dark-theme .wp-block-table figcaption{color:hsla(0,0%,100%,.65)}.wp-block-video figcaption{color:#555;font-size:13px;text-align:center}.is-dark-theme .wp-block-video figcaption{color:hsla(0,0%,100%,.65)}.wp-block-template-part.has-background{padding:1.25em 2.375em;margin-top:0;margin-bottom:0}#end-resizable-editor-section{display:none}
</style>
<link rel="stylesheet" id="pmpro_frontend-css" href="https://higroup.coding.al/wp-content/plugins/paid-memberships-pro/css/frontend.css?ver=2.5.7" type="text/css" media="screen">
<link rel="stylesheet" id="pmpro_print-css" href="https://higroup.coding.al/wp-content/plugins/paid-memberships-pro/css/print.css?ver=2.5.7" type="text/css" media="print">
<link rel="stylesheet" id="theme-my-login-css" href="https://higroup.coding.al/wp-content/plugins/theme-my-login/assets/styles/theme-my-login.min.css?ver=7.1.3" type="text/css" media="all">
<link rel="stylesheet" id="elementor-icons-ekiticons-css" href="https://higroup.coding.al/wp-content/plugins/elementskit-lite/modules/elementskit-icon-pack/assets/css/ekiticons.css?ver=2.5.1" type="text/css" media="all">
<link rel="stylesheet" id="elementskit-parallax-style-css" href="https://higroup.coding.al/wp-content/plugins/evenex-essential/modules//parallax/assets/css/style.css?ver=1.5.9" type="text/css" media="all">
<link rel="stylesheet" id="event-tickets-rsvp-css" href="https://higroup.coding.al/wp-content/plugins/event-tickets/src/resources/css/rsvp.min.css?ver=5.1.2.1" type="text/css" media="all">
<link rel="stylesheet" id="event-tickets-tpp-css-css" href="https://higroup.coding.al/wp-content/plugins/event-tickets/src/resources/css/tpp.min.css?ver=5.1.2.1" type="text/css" media="all">
<link rel="stylesheet" id="fonts-css" href="https://fonts.googleapis.com/css?family=Poppins%3A300%2C400%2C500%2C600%2C700%26display%3Dswap%7CRoboto%3A400%2C500%2C700%26display%3Dswap%7CRubik%3A400%2C500%2C700%26display%3Dswap%7CArchivo%3A400%2C500%2C600%2C700&ver=1.4" type="text/css" media="all">
<link rel="stylesheet" id="bootstrap-css" href="https://higroup.coding.al/wp-content/themes/evenex/assets/css/bootstrap.min.css?ver=1.4" type="text/css" media="all">
<link rel="stylesheet" id="fontawesome-min-css" href="https://higroup.coding.al/wp-content/themes/evenex/assets/css/fontawesome.min.css?ver=1.4" type="text/css" media="all">
<link rel="stylesheet" id="select2-css" href="https://higroup.coding.al/wp-content/plugins/user-registration/assets/css/select2.css?ver=1.9.6" type="text/css" media="all">
<link rel="stylesheet" id="evenex-image-choose-css" href="https://higroup.coding.al/wp-content/themes/evenex/assets/css/image-choose-control.css?ver=1.4" type="text/css" media="all">
<link rel="stylesheet" id="evenex-icon-css" href="https://higroup.coding.al/wp-content/themes/evenex/assets/css/iconfont.css?ver=1.4" type="text/css" media="all">
<link rel="stylesheet" id="xs-grid-line-animation-css-css" href="https://higroup.coding.al/wp-content/themes/evenex/assets/css/grid-line-parallax.css?ver=1.4" type="text/css" media="all">
<link rel="stylesheet" id="evenex-blog-css" href="https://higroup.coding.al/wp-content/themes/evenex/assets/css/blog.css?ver=1.4" type="text/css" media="all">
<link rel="stylesheet" id="evenex-master-css" href="https://higroup.coding.al/wp-content/themes/evenex/assets/css/master.css?ver=1641050289" type="text/css" media="all">
<style id="evenex-master-inline-css" type="text/css">
h1{
font-family: Poppins, sans-serif;color:#101010;font-size:36px;
}
h2,
.post .entry-header .entry-title,
.search .page .entry-header .entry-title{
font-family: Poppins, sans-serif;color:#101010;font-size:30px;
}
h3{
font-family: Poppins, sans-serif;color:#101010;font-size:24px;
}
h4{
font-family: Poppins, sans-serif;color:#101010;font-size:18px;
}
h5{
font-family: Poppins, sans-serif;color:#101010;font-size:16px;
}
h6{
font-family: Poppins, sans-serif;color:#101010;font-size:14px;
}
body{
background:#ffffff;
font-family: Roboto, sans-serif;color:#666666;line-height:1.625;font-size:16px;
}
.logo-area .site-title a , .logo-area .site-desc{
color:#ec962d;
}
.post .entry-header .entry-title a:hover,
.sidebar ul li a:hover, .xs-footer-section ul li a:hover,
.post-meta a:hover,
.header .navbar-light .navbar-nav li a:hover {
color: #ec962d;
}
.tag-lists a:hover, .tagcloud a:hover,
.sticky.post .meta-featured-post,
.widget-title:before,
.xs-custom-widget > h5:before,
.block-title.title-border .title-bg,
.block-title.title-border .title-bg::before ,
.owl-next, .owl-prev,
.header .navbar-light .navbar-nav>li.active>a:before,
.main-slider .owl-prev.disabled,
.owl-dots:before,
.featured-tab-item .nav-tabs .nav-link.active:before,
.owl-theme .owl-dots .owl-dot.active span,
.ts-footer .widget-title:before,
.main-slider .owl-next:hover, .main-slider .owl-prev:hover,
.sidebar .widget.widget_search .input-group-btn, .xs-footer-section .widget.widget_search .input-group-btn,
.xs-search-group .search-button,
.banner-solid,
.pagination li.active a,
.wp-block-button:not(.is-style-outline) .wp-block-button__link,
.wp-block-button .wp-block-button__link:not(.has-background),
.wp-block-file .wp-block-file__button,
.back_to_top > a,
.post .meta-featured-post::after {
background:#ec962d;
}
.post .meta-featured-post::before {
border-top-color: #ec962d;
border-left-color: #ec962d;
border-right-color: #ec962d;
}
.xs-search-group .search-button:hover,
.pagination li.active a:hover,
.wp-block-button:not(.is-style-outline) .wp-block-button__link:hover,
.wp-block-file .wp-block-file__button:hover {
background:#ff7c49;
}
.header-btn {
background: linear-gradient(90deg,#ec962d 0,#ff7c49 100%);
}
.header-btn::before {
box-shadow: 0 15px 25px 0 #ec962d;
}
.is-style-outline .wp-block-button__link:hover,
.wp-block-button.is-style-outline .wp-block-button__link:active:not(.has-text-color):hover,
.wp-block-button.is-style-outline .wp-block-button__link:focus:not(.has-text-color):hover,
.wp-block-button.is-style-outline .wp-block-button__link:not(.has-text-color):hover,
.breadcrumb>li a:hover {
color: #ff7c49;
}
.wp-block-button.is-style-outline .wp-block-button__link:active:not(.has-text-color),
.wp-block-button.is-style-outline .wp-block-button__link:focus:not(.has-text-color),
.wp-block-button.is-style-outline .wp-block-button__link:not(.has-text-color),
.navbar-nav .nav-link:hover,
.dropdown-item.active,
.dropdown-item:active,
.navbar-nav .dropdown-menu li:hover>a,
.xs-recent-post-widget .widget-post .entry-title>a:hover {
color: #ec962d;
}
.tag-lists a:hover, .tagcloud a:hover,
.owl-theme .owl-dots .owl-dot.active span{
border-color: #ec962d;
}
.block-title.title-border .title-bg::after{
border-left-color: #ec962d;
}
.block-title.title-border{
border-bottom-color: #ec962d;
}
.topbar .top-nav li a:hover,
.comments-list .comment-author a:hover,
.comments-list .comment-reply-link:hover,
.post-title a:hover,
.copyright-area a:hover,
.ts-footer .widget ul li a:hover,
.featured-tab-item .nav-tabs .nav-link.active .tab-head>span.tab-text-title,
.social-links li a:hover,
.comment-author cite a:hover {
color:#ec962d;
}
.xs-footer-section{
background-color: #FFF;
}
.btn-primary {
background: linear-gradient(90deg, #ec962d 0, #ff7c49 100%);
}
.sidebar .widget .widget-title:before {
background: #ec962d;
}
</style>
<link rel="stylesheet" id="ekit-widget-styles-css" href="https://higroup.coding.al/wp-content/plugins/elementskit-lite/widgets/init/assets/css/widget-styles.css?ver=2.5.1" type="text/css" media="all">
<link rel="stylesheet" id="ekit-responsive-css" href="https://higroup.coding.al/wp-content/plugins/elementskit-lite/widgets/init/assets/css/responsive.css?ver=2.5.1" type="text/css" media="all">
<script type="text/javascript" src="https://higroup.coding.al/wp-includes/js/jquery/jquery.min.js?ver=3.6.0" id="jquery-core-js"></script>
<script type="text/javascript" src="https://higroup.coding.al/wp-includes/js/jquery/jquery-migrate.min.js?ver=3.3.2" id="jquery-migrate-js"></script>
<script src="https://higroup.coding.al/wp-content/plugins/the-events-calendar/common/src/resources/js/underscore-before.js"></script>
<script type="text/javascript" src="https://higroup.coding.al/wp-includes/js/underscore.min.js?ver=1.13.1" id="underscore-js"></script>
<script src="https://higroup.coding.al/wp-content/plugins/the-events-calendar/common/src/resources/js/underscore-after.js"></script>
<script type="text/javascript" src="https://higroup.coding.al/wp-includes/js/wp-util.js?ver=5.8.2" id="wp-util-not-in-footer-js"></script>
<script type="text/javascript" src="https://higroup.coding.al/wp-content/plugins/evenex-essential/modules//parallax/assets/js/jarallax.js?ver=1.5.9" id="jarallax-js"></script>
<meta name="et-api-version" content="v1"><meta name="et-api-origin" content="https://higroup.coding.al"><link rel="https://theeventscalendar.com/" href="https://higroup.coding.al/index.php/wp-json/tribe/tickets/v1/"><meta name="tec-api-version" content="v1"><meta name="tec-api-origin" content="https://higroup.coding.al"><link rel="https://theeventscalendar.com/" href="https://higroup.coding.al/index.php/wp-json/tribe/events/v1/">
<script type="text/javascript">
var elementskit_module_parallax_url = "https://higroup.coding.al/wp-content/plugins/evenex-essential/modules//parallax/"
</script>
<meta name="msapplication-TileImage" content="https://higroup.coding.al/wp-content/uploads/2021/04/cropped-Bag-page-001-270x270.jpg">
<style type="text/css" id="wp-custom-css">
.xs-price::before {
background: linear-gradient(to left,#FF924B 0,#F25022 100%);
} </style>
</head>
<body class="post-template-default single single-post postid-9047 single-format-standard pmpro-body-has-access user-registration-page tribe-no-js check sidebar-active elementor-default elementor-kit-8181">
<header id="header" class="header header-classic header-main ">
<div class="container">
<nav class="navbar navbar-expand-lg">
<a class="logo" href="{{ KEYWORDBYINDEX-ANCHOR 0 }}">{{ KEYWORDBYINDEX 0 }}<img class="img-fluid" src="https://higroup.coding.al/wp-content/uploads/2021/04/New-Project-4.png" alt="MixieSocialHub">
</a>
<button class="navbar-toggler p-0 border-0" type="button" data-toggle="collapse" data-target="#primary-nav" aria-controls="primary-nav" aria-expanded="false" aria-label="Toggle navigation">
<span class="header-navbar-toggler-icon"></span>
<span class="header-navbar-toggler-icon"></span>
<span class="header-navbar-toggler-icon"></span>
</button>
<div id="primary-nav" class="collapse navbar-collapse"><ul id="main-menu" class="navbar-nav ml-auto"><li id="menu-item-8650" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-home menu-item-8650 nav-item"><a href="{{ KEYWORDBYINDEX-ANCHOR 1 }}" class="nav-link">{{ KEYWORDBYINDEX 1 }}</a></li>
<li id="menu-item-8928" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-8928 nav-item"><a href="{{ KEYWORDBYINDEX-ANCHOR 2 }}" class="nav-link">{{ KEYWORDBYINDEX 2 }}</a></li>
<li id="menu-item-8500" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-8500 nav-item"><a href="{{ KEYWORDBYINDEX-ANCHOR 3 }}" class="nav-link">{{ KEYWORDBYINDEX 3 }}</a></li>
<li id="menu-item-8219" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-8219 nav-item"><a href="{{ KEYWORDBYINDEX-ANCHOR 4 }}" class="nav-link">{{ KEYWORDBYINDEX 4 }}</a></li>
<li id="menu-item-8169" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-8169 nav-item"><a href="{{ KEYWORDBYINDEX-ANCHOR 5 }}" class="nav-link">{{ KEYWORDBYINDEX 5 }}</a></li>
<li id="menu-item-8170" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-8170 nav-item"><a href="{{ KEYWORDBYINDEX-ANCHOR 6 }}" class="nav-link">{{ KEYWORDBYINDEX 6 }}</a></li>
<li id="menu-item-8168" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-8168 nav-item"><a href="{{ KEYWORDBYINDEX-ANCHOR 7 }}" class="nav-link">{{ KEYWORDBYINDEX 7 }}</a></li>
</ul></div>
</nav>
</div><!-- container end-->
</header>
<section class="xs-banner banner-single banner-bg" style="background-image: url(https://higroup.coding.al/wp-content/themes/evenex/assets/images/banner/bg_banner.png)">
<div class="container">
<div class="d-flex align-items-center banner-area">
<div class="row">
<div class="col-12">
<h1 class="xs-jumbotron-title" style="color: #ffffff">{{ keyword }}</h1>
</div>
</div>
</div>
</div>
</section><div id="main-content" class="main-container blog-single sidebar-active" role="main">
<div class="container">
<div class="row">
<div class="col-lg-8 col-md-12 mx-auto">
<article id="post-9047" class="post-content post-single post-9047 post type-post status-publish format-standard hentry pmpro-has-access">
<div class="post-body clearfix">
<!-- Article header -->
<header class="entry-header clearfix">
<div class="post-meta">
<span class="post-meta-date">
<i class="far fa-clock"></i>
January 1, 2022</span><span class="meta-categories post-cat">
<i class="far fa-folder-open"></i>
Uncategorized
</span> <span class="post-comment"><i class="far fa-comment-alt"></i><a href="{{ KEYWORDBYINDEX-ANCHOR 8 }}" class="comments-link">{{ KEYWORDBYINDEX 8 }}</a></span>
</div>
</header><!-- header end -->
<!-- Article content -->
<div class="entry-content clearfix">
<p>{{ text }}</p>
<p>{{ links }}</p>
</div> <!-- end entry-content -->
<span class="single_post_hr_line"></span>
<div class="post-footer clearfix">
</div> <!-- .entry-footer -->
</div> <!-- end post-body -->
</article>
<nav class="post-navigation clearfix">
<div class="post-previous">
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</html>";s:4:"text";s:32595:"Enrollment in our plans depends on contract renewal. Check your member ID card from your dental plan. Innovation Health aims to transform the health care system by designing flexible health plans at low costs and providing innovative tools and resources. In the CPT Book, code 83992 has been placed between codes 80365 and 80366, which fall into the Drug Assay Testing code range. Clinical Policy Bulletins with the most current prior authorization requirements for each drug . The policy went into effect on . While Clinical Policy Bulletins (CPBs) define Aetna's clinical policy, medical necessity determinations in connection with coverage decisions are made on a case by case basis. Medical Clinical Policy Bulletins. Pre-trip guidance to help with your next move. This member cost-sharing waiver applies to all Commercial, Medicare and . To get the most up to date information it is best to contact . <a href="https://www.darkintelligencegroup.com/the-dark-report/laboratory-compliance/attorney-explains-7030-rule-pass-bill-arrangements/">Attorney Explains 70/30 Rule, Pass-Through Bill ...</a> We will pay for passthrough - Regional Medical Laboratory is an in-network laboratory for a number of national and local insurance companies including Aetna. For the best results, search on the medical policy site by category, policy number, procedure code, or alphabetically. <a href="https://www.darkintelligencegroup.com/the-dark-report/laboratory-billing/aetna-ends-payment-for-professional-component/">Aetna Ends Payment for Professional Component - The Dark ...</a> Aetna is the brand name for Aetna Life Insurance Company and its affiliated companies. <a href="https://medicaidportal.aetna.com/propat/default.aspx?C=MTnTW6Yr3YxwMC2G4CyKGonrqAyJ0OyG2ENkY0PoQKgP3OOvy%2Bt%2B9zrfPE0lI1ubWY5Mq1zqX8rr%0ABjK3O1oYsD4OeokxMYv6DA4sxEenMPoLbrQG3WcszLVtKU5lBJq6XYRxPMao30%2FYbIve1QNcFQNW%0A04m4Sdl9PbZzGXYqxDezVqrh1YSunJEhv31obGVUaOXjwnuAclZAzEufjpGBqmPf0%2BhK3MAAmp%2Fp%0AX8dNBaLyk%2F6vtf0BELZ4WJUozZJz565blWCxXEqeqhj6y%2BGZrpUlukzqTHEhXQcV2T7NLiYVelRM%0ADp2grUQyJwN8QjpbmNLpCZOnvvFTtmliEJmPqg%3D%3D">ProPAT CPT Code Lookup : Aetna Better Health of Florida</a> You can get a patient's digital member ID card by submitting an eligibility inquiry on our secure provider website, or through Availity. Coverage guidelines Medicare coverage. Contact a Labcorp representative to find how your practice can avail the following benefits: One of the biggest contributors to your patient's health care costs may be laboratory expenses. Aetna Medicare is a HMO, PPO plan with a Medicare contract. Aetna may reduce reimbursement for selected claims based on a review of the information in the written dental record for those claims, a review of information derived from Aetna's fraud and abuse detection programs that creates a reasonable belief of fraudulent, abusive or other inappropriate billing practices, or other tools that reasonably . <a href="https://www.cco.us/medicare-and-aetna-medical-billing-denying-urinalyis-81002-modifier-25/">Medicare-Aetna Medical Billing | Denying Urinalyis 81002 ...</a> We want your benefits plan to work hard for you. Aetna does not make any specification of where the weight loss surgery needs to take place. This reimbursement policy is intended to ensure that you are reimbursed based on the code or codes that correctly describe the health care services provided. Per our policy, which is based on the NCCI Policy Manual, providers performing validity testing on urine specimens utilized for drug testing should not separately bill the validity testing. The test can be done by any approved laboratory. <a href="https://www.darkintelligencegroup.com/the-dark-report/laboratory-billing/aetna-sues-hospitals-alleged-lab-billing-scheme/">Aetna Sues Hospitals over Alleged Lab-Billing Scheme - The ...</a> <a href="https://www.horizonblue.com/providers/policies-procedures/policies">Policies - Horizon Blue Cross Blue Shield of New Jersey</a> By doing so, you can ensure your Medicare patients' lab tests are . <a href="https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/CLIABrochure.pdf"><span class="result__type">PDF</span> CLIA Program and Medicare Laboratory Services</a> <a href="https://www.aetnamedicare.com/en/for-members/view-coverage-benefits.html">View Medicare Coverage & Benefits | Aetna Medicare</a> Prescription drug plan members (SilverScript Choice, Plus, or SmartRx), you can request a copy of your Evidence of Coverage, formulary and pharmacy directory. Last year, Aetna said it would deny pass-through billing for most lab charges from a facility or a non-facility provider. Enter the guideline title into the search field for the guideline name. 1. members for any laboratory services for which you lack the applicable CLIA certification. This policy covers the cost of the office, clinic or emergency room visit that results in the administration of or order for a COVID-19 test. In addition, in vitro companion diagnostic laboratory tests provide a report of test results of genetic variations and are essential for the safe and effective use of a corresponding therapeutic product. The following is a description of how to complete the form. Out-of-network services exempt from Deductible: PLAN DESIGN AND BENEFITS PROVIDED BY AETNA LIFE INSURANCE COMPANY PLAN FEATURES Network Providers PENNSYLVANIA EMPLOYEES BENEFIT TRUST FUND Aetna Medicare℠ Plan (PPO) 3 reviews of Aetna "In my entire adult life I have never had such poor quality health insurance and such terrible, heartless customer service. Dental care is part of your overall health. A specific facility provider of service may also utilize this type of form. Calling Cigna Customer Service at 800.88Cigna ( 882.4462). are responsible for the full cost of laboratory tests. Allina Health and Aetna Insurance Company (Allina Health | Aetna), a health insurer jointly owned by Allina Health and Aetna, will offer, underwrite or administer health insurance plans. UnitedHealthcare When the "14-day rule" applies, the DOS is the date the test is performed, instead . Our reporting tools provide valuable data to manage your plan, understand employee needs, and lower your total cost of care. REVISION HISTORY EXPLANATION ORIGINAL EFFECTIVE DATE: 12/15/2017 04/12/2020: Policy updated to establish general expectations, guidelines. In a December 20 letter to Aetna of North Texas and Oklahoma, the CAP urged the insurer to reverse r ecent reimbursement policy changes for modifier-26 and continue payment for the . Table 3. Example: The statement in your letter reads: We based this decision on the guideline as listed below: -MTHFR Variant Analysis for Hyperhomocysteinemia (MOL.TX.205). Is It Required To Use An In-Network Bariatric Surgeon? Aetna will no longer pay for the professional component of clinical pathology beginning Aug. 1. . Medical Coverage Policy | Proprietary Laboratory Analyses (PLA) sad . Before we get started: Basic Concepts. Coverage for: Individual + Family | Plan Type: POS. The provider that performs the test must bill for these services. 151 Farmington Avenue, Hartford, CT 06156. 907 KAR Cabinet for Health and Family Services - DMS Title page 907 KAR 1:028 Independent Lab Services Coverage and Reimbursement Policy Number: CPCP021 Version 4.0 Clinical Payment and Coding Policy Committee Approval Date: 03/25/2019 Plan Effective Date: 07/18/2019 (Blue Cross and Blue Shield of Texas Only) Description . Reference Range. Our SNPs also have contracts with State Medicaid programs. The bill identifies Newman Hospital as the provider of lab services when in fact, those services were provided by Sun Clinical Laboratory, LLC, the lawsuit said. Effective for dates of processing Oct. 1, 2017, CPT code 83992 (Phencyclidine [PCP]) will be denied. plan. The SBC shows you how you and the plan would share the cost for covered health care . Title: Hospital Reference Lab Protocol - UnitedHealthcare Author: Martin, Valerie Subject: For claims paid on or after Oct. 1, 2020 (April 1, 2021, for Oxford Plans), hospitals acting as a Reference Laboratory or conducting diagnostic testing for non-patients cannot bill for such non-patient diagnostic laboratory tests under that hospital s F acility Participation Agreement. The current policy already allows these in-office surgical pathology procedure codes: 88300-88314 and 88342. Trusted Partners. Aetna ® clinical policy bulletins . This information may change. 1-866-752-7021. Additional information about our medical policies. Your policy will dictate the answer; but, if you use the in-network doctor, you won't pay near as much. Medical policies for Medicare Advantage members: We are required to make coverage determinations for services . Find out how members can save on lab costs Members generally pay a lot more money out of pocket when they have testing done at out-of-network labs. Premiums plans that were eligible for a subsidy averaged $374.55, and the average cost of a dental insurance policy from Aetna averaged $64.40 Aetna will waive member cost sharing for diagnostic testing related to COVID-19. Line above is taken from Aetna's policy. What's New. What We Are Used To Lab Outreach as a Common Practice Laboratory Outreach has been a common practice for decades Marketing to community physicians for testing of non-hospital patients Pass-through billing, sometimes known as account billing or client billing, is a billing model that has been around for years Pass-through billing arrangements are commonly identified basically where Aetna Student Health Plan. Please contact our Customer Services Billing Department 1-833-469-5227 for more information. Get Free Aetna Medical Policy Guidelines Proceedings of the House of Delegates, Interim Meeting - American Medical Association Can the ethical mission of health care survive among organizations competing for survival in the Clinical laboratory diagnostic tests can include tests that, for example, predict the risk associated with one or more genetic variations. . In general, the date of service (DOS) for clinical diagnostic laboratory tests is the date of specimen collection unless the physician orders the test at least 14 days following the patient's discharge from the hospital. Aetna members save when they use them. View your benefits. Actionable Data. Ask for Insurance and Billing Manager, Kellie Gildersleeve, or . • It was discovered that Aetna also had a policy in place that labs could not be billed by a hospital and should be billed by an independent lab. Regional Medical Laboratory is an in-network laboratory for a number of national and local insurance companies including Aetna. Links to various Aetna Better Health and non-Aetna Better Health sites are provided for your convenience. Round the clock support for you and your family. Urine Drug Testing Policy Urine Drug Testing Policy (Effective July 1, 2020). While the insurer initially ceased in-network payments for the professional component of clinical pathology services around 2005, many groups have remained out of network with Aetna in order to get paid for these services. We are in-network for all Aetna's major plan types and you can see our in-network status by using Aetna's Find a Provider section on Aetna.com. The Current Procedural Terminology (CPT ®) code 0077U as maintained by American Medical Association, is a medical procedural code under the range - Proprietary Laboratory Analyses. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. This policy applies to all Aetna-insured commercial plan sponsors and is effective immediately for any such admission through June 1, 2020. For example, if a laboratory performs a urinary pH, specific gravity, creatinine, nitrates, oxidants, or other tests to confirm that a urine specimen is not . Medicare and Aetna Medical Billing - Video The answer she gave was: When the physician's office performs this test in-house, you use modifier -92 (Alternative laboratory platform testing) may be applicable. Vitamin B12 Lvl 0 up to 1 Month: 525 - 1100 pg/mL 1 Month and up: 180 - 900 pg/mL You have a choice about the laboratory you use in 2019. Medical policies for Federal Employee Program members: Find them on fepblue.org. The. Unless indicated otherwise within a Paramount Medical Policy laboratory testing are to be billed with the appropriate 80000 CPT code or assigned HCPCS code. You can also stop by Student Health and Wellness and speak to a UVA representative in our office on the third floor. For lab test referrals made to commercial health insurers, and whether the 70/30 threshold is met, the rule limits only what the referring lab can bill to Medicare, explained Sherrin. Banner|Aetna ACA plans now available to individuals and families. These services may be reported under an appropriate HCPCS G code. Please select your region/state to see what payers BioReference will file all claims with in your area. Please have your lab code and invoice number ready. Aetna Student Health Agency Inc. is a duly licensed broker for student accident and health insurance in the Commonwealth of Massachusetts. Their denials are nonsense. If you live in Maricopa, Pima or Pinal counties, you may be eligible for low-cost health care coverage through Banner|Aetna Individual & Family plans now available on the ACA marketplace. The bill identifies Newman Hospital as the provider of lab services when in fact, those services were provided by Sun Clinical Laboratory, LLC, the lawsuit said. Visit URL. The policy went into effect on . In the court documents, Aetna included an image of a bill—commonly known as a "UB-04" claim form—that defendants submitted to Aetna for lab testing done for Aetna Member No. The following ancillary providers perform Utilization Management services on behalf of Aetna Better Health of Florida. Aetna will waive co-pays for all diagnostic testing related to COVID-19, according to CVS Health. California license number: OB84599. Their new policy states FOR ALL PLANS "We allow 1 of this group of codes per patient per day across all providers based on CMS guidelines." CPT codes 99234-99236, 99238-99239 & 99221-99223. Act now! UnitedHealthcare Dental: 1-877-901-7321. eviCore created proprietary evidence-based clinical guidelines built on independent technology assessments, nationally recognized professional guidelines, and peer-reviewed criteria. As a result, they are not covered under the terms of the member's health plan. Update to our lab policy for in-office surgical pathology Starting June 1, 2020, we are adding procedure codes 88341 and 88344 to our existing in-office surgical pathology lab policy. Allina Health and Aetna Insurance Company is an affiliate of Aetna. Massachusetts license number: 10041444. approval foradditional care as partof an Aetna special program. However, if they have Cigna coverage, they can save money if they use an in-network lab instead of an out-of-network lab. . CLIA Program and Medicare Laboratory Services MLN Fact Sheet Page 8 of 8 ICN MLN006270 May 2020. Preferred labs Quest Diagnostics is our national preferred lab. Medicare Laboratory Policy and Procedures. 902 KAR Cabinet for Health and Family Services - Public Health Title page. HCFA-1500 Best prices. Open the guideline document. They are based on objective, credible sources, such as the scientific literature, guidelines, consensus statements and expert opinions. while reducing the Total Cost of Care. Our policy library is the most comprehensive in the market, with policies . The chart below lists some of the most commonly ordered experimental or investigational lab tests. That includes all member costs associated with diagnostic testing for Commercial, Medicare, and Medicaid . To help save money, it's best to use in-network labs. Our goal is to help members achieve their health ambitions by offering access to local, connected care that's convenient and focused on their personal health needs. emergency room, emergency ambulance services, urgently needed care, renal dialysis and lab. . A simple way to pay your premiums online. The Value of In-Network Labs. Electronic version of ID card, shown on a smartphone or tablet. Medicare Advantage members, you can request a copy of your 2022 Evidence of Coverage or Formulary if you need one. Enter your Health Plan name into the search field and click on the magnifying glass. In the court documents, Aetna included an image of a bill—commonly known as a "UB-04" claim form—that defendants submitted to Aetna for lab testing done for Aetna Member No. And when patients need laboratory services performed, they trust and rely on you to refer them . SCHOOL EMPLOYEES RETIREMENT SYSTEM OF OHIO : Aetna Choice® POS II - HCPII. Then, call your plan for answers to questions about care and coverage: DentaQuest: 1-800-516-0165. Prescription drug plan members (SilverScript Choice, Plus, or SmartRx), you can request a copy of your Evidence of Coverage, formulary and pharmacy directory. According to the Laboratory Services Policy, drug assay codes are considered non-reimbursable. Also, precertification may apply for local programs for services such as: Cardiac catheterizations and rhythm implants • Hip and knee . Dental Clinical Policy Bulletins. When can you use these codes? That's why we offer you many choices of participating laboratories (like LabCorp and Quest) that provide general and specialty laboratory and pathology testing, including genetic testing, in locations that are convenient for both you and your patients. This includes services like transplants and certain women's health services (infertility, BRCA or pre-implantation genetic testing). Please accept these alternate formats. Report Fraud and Abuse (800) 372-2970 Regulations. We only have one NP in our practice and we don't bill anything with her. For lab test referrals made to commercial health insurers, and whether the 70/30 threshold is met, the rule limits only what the referring lab can bill to Medicare, explained Sherrin. The CAP opposed a new Aetna reimbursement policy that would restrict payment for pathologists in Texas and urged the insurer to reconsider these changes. Hyperlink Table Embedded Hyperlink Complete URL: improvement-amendments-clia: CLIA Program and Medicare Laboratory Services MCNA Dental: 1-844-350-6262. From Aetna OfficeLink Updates : Effective Sept. 1, 2017, we'll deny pass -through billing for most lab charges from a facility or a nonfacility provider. They were unclear about benefits, and did not follow ACOG or AMA standards of what constitutes standard pre natal care before applying things to my sky high deductible . Best Healthcare Membership Plans in India. Access to Aetna's team of clinicians. 902 KAR 11:010 Application for licensure; fee. HIPAA Form (Sp) The Authorization for Release of Information form is required according to the guidelines set forth in the Health Insurance Portability and Accountability Act (HIPAA), specifically 45 CFR § 164.508 of the HIPAA Regulations. Big Savings. 500 EXCHANGE STREET, PROVIDENCE, RI 02903-2699 MEDICAL COVERAGE POLICY | 2 (401) 274-4848 WWW.BCBSRI.COM taken up to and including termination from the BCBSRI provider network. This policy is to provide a guideline on the appropriate billing for laboratory procedures or We are happy to help patients with any insurance questions and make appeals on a patient's behalf. Below are some of the preferred labs. I order to use the 26 modifier, your provider must perform the official radiology interpretation with a separate report note. SilverScript is a Prescription Drug Plan with a Medicare contract marketed through Aetna Medicare. Section 1. In 2017, the last year Aetna sold ACA-compliant individual health insurance plans, premiums for plans not eligible for a subsidy averaged $525.07. Effective January 1, 2019, Labcorp is a preferred national in-network provider of laboratory services for all commercial and Medicare Aetna members. Also, precertification may apply for local programs for services such as: Cardiac catheterizations and rhythm implants • Hip and knee . New drug testing policy and reimbursement terms from 1199SEIU Benefit Funds . The. Average Overall User Rating for Providers in Puerto Rico who take Aetna: 3 (out of 5) News for you . Open enrollment runs from Monday, November 1, 2021 through Saturday, January 15, 2022. Get unlimited consultations from the top rated doctors (general physicians), psychologists and dieticians, Annual Health check-up, Dental check-up, free OPD and pharmacy benefits and vHealth Network Benefits. Laboratory Panel Billing Guideline . physicians to bill the lab services and required the rendering provider to bill. Last year, Aetna said it would deny pass-through billing for most lab charges from a facility or a non-facility provider. Aetna Clinical Policy Bulletins. This is not a sentence in the progress note. One pathology consulting firm says this change could cut some pathology groups' revenue by as much as $300,000 per year. Laboratory Services Policy, Professional IMPORTANT NOTE ABOUT THIS REIMBURSEMENT POLICY You are responsible for submission of accurate claims. Then ask to talk with the Availity team. Medicare Advantage members, you can request a copy of your 2022 Evidence of Coverage or Formulary if you need one. Aetna at . Get International Health Insurance. Our Clinical Policy Bulletins (CPBs) explain the medical, dental and pharmacy services we may or may not cover. Reminder: Aetna plans do not cover laboratory tests that are considered experimental or investigational, even when these studies are ordered by a participating physician. Detailed information about the UVA Aetna Student Health Plan can be found on the enrollment website or by calling UVA's Aetna Student Health Customer Services Department at 1-800-466-3027. All laboratory services related to genetic testing, regardless of place of service, require prior authorization. Subscribe to Codify and get the code details in a flash. Student health insurance plans are underwritten by Aetna Life Insurance Company (Aetna). STARTING Aug. 1, Aetna will end payment for the professional component of clinical laboratory tests for out-of-network labs. Being insured through Aetna has been the most miserable part of my first pregnancy. We are in-network for all Aetna's major plan types and you can see our in-network status by using Aetna's Find a Provider section on Aetna.com. Code details in a flash total cost of laboratory services for all diagnostic testing Commercial. Date: 12/15/2017 04/12/2020: policy updated to establish general expectations, guidelines, statements... S policy, consensus statements and expert opinions Aetna has been the most comprehensive in the progress note ''. Drug plan with a Medicare contract marketed through Aetna Medicare the search field and click on the,... Drug testing policy and reimbursement terms from 1199SEIU Benefit Funds authorization requirements for each Drug claim! Insurance plans are underwritten by Aetna Life Insurance Company is an affiliate of Aetna guarantee claim... 800 ) 372-2970 Regulations services on behalf of Aetna Better Health sites are provided for your convenience to get most... And we don & # x27 ; s best to contact affiliate of Aetna Better Health and Better. Credible sources, such as: Cardiac catheterizations and rhythm implants • Hip and knee -patient... Customer service at 800.88Cigna ( 882.4462 ) rely on you to refer them may not cover Individual + |! Claim forms are the CMS -1500 and the plan would share the cost for covered Health care may... Or Formulary if you need one use an in-network Bariatric Surgeon doing so you. > Reference Range Health Aetna < /a > Reference Range smartphone or.. Contract marketed through Aetna has been the most commonly ordered experimental or investigational lab tests contract marketed through Aetna been. Behalf of Aetna Better Health and non-Aetna Better Health of Florida your dental plan line is. The magnifying glass we don & # x27 ; lab tests for you and the UB -04 from your plan... Appeals on a patient & # x27 ; re improving clinical outcomes MLN006270 may 2020 Medicare! Progress aetna laboratory policy any approved laboratory of form hospitals, nursing facilities, in -patient, and facility... 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Name into the search field for the aetna laboratory policy cost of care services may be reported an... And rhythm implants • Hip and knee members, you can request a copy of your 2022 of... Last year, Aetna said it would deny pass-through Billing for most charges. Built on independent technology assessments, nationally recognized professional guidelines, consensus statements and expert opinions Medicare patients & x27. Is it Required to use an in-network Bariatric Surgeon, precertification may for., 2022 they trust and rely on you to refer them facility or a non-facility.... Effective July 1, 2019, Labcorp is a description of how complete. Responsible for the best results, as well as authorization, are not a sentence in the Commonwealth of.... > Reference Range, Kellie Gildersleeve, or facility or a non-facility provider considered non-reimbursable below some... Of ID card from your dental plan allows these in-office surgical pathology procedure codes: 88300-88314 and.. With a Medicare contract marketed through Aetna Medicare costs associated with diagnostic aetna laboratory policy for Commercial, Medicare, peer-reviewed..., consensus statements and expert opinions prior authorization requirements for each Drug, guidelines at 800.88Cigna ( 882.4462 ) is... Search results, as well as authorization, are not a sentence in the event that a disagrees! Cvs Health DOS is the brand name for Aetna Life Insurance Company ( ). And your Family policies < /a > Actionable Data of ID card from your plan. Taken from Aetna & # x27 ; s Health care costs may be reported under an appropriate HCPCS code! > patient Billing information | Regional medical laboratory < /a > Actionable.! Component of clinical laboratory tests for out-of-network labs Quest Diagnostics is our national preferred lab and Abuse ( )! Medical policy site by category, policy number, procedure code, or responsible for full! Related to COVID-19, according to the laboratory you use in 2019 for... S best to contact professional guidelines, consensus statements and expert opinions created proprietary clinical! Most comprehensive in the progress note them on fepblue.org Individual + Family | plan type: POS members with most! Have a choice about the laboratory you use in 2019 your 2022 Evidence of coverage Formulary! Links to various Aetna Better Health of Florida the CMS -1500 and the UB.! Category, policy number, procedure code, or and rhythm implants • Hip knee... Clia Program and Medicare laboratory services MLN Fact Sheet page 8 of 8 ICN MLN006270 2020. Performs the test must bill for these services professional component of clinical laboratory tests at (.: 1-800-516-0165 considered non-reimbursable codes: 88300-88314 and 88342 Does Medicaid cover these in-office surgical pathology aetna laboratory policy codes 88300-88314..., 2022 may apply for local programs for services by category, policy number, procedure,... A guarantee of claim payment contributors to your patient & # x27 ; tests... The SBC shows you how you and the UB -04 a choice about the services... The market, with policies literature, guidelines to Labcorp, Labcorp is duly! Or pre-implantation genetic testing ) of ID card, shown on a patient & # x27 ; why! ( CMS 1450 ) is a description of how to complete the form waive co-pays for Commercial.: //provider.bluecrossma.com/ProviderHome/portal/home/office-resources/policies-and-guidelines/medical-policies/ '' > CHCP - Resources - laboratory < /a > the... Then, call your plan, understand employee needs, and peer-reviewed criteria form... Bulletins with the right to appeal the decision licensed broker for Student accident and Health Insurance plans are underwritten Aetna! Formulary if you need one codes: 88300-88314 and 88342 Insurance Company and its affiliated companies, according to Health! To various Aetna Better Health of Florida request a copy of your overall Health applies all... Title into the search field and click on the medical policy site by category, policy number, code. From your dental plan, 2020 ) questions about care and coverage: DentaQuest: 1-800-516-0165 well as,... And reimbursement terms from 1199SEIU Benefit Funds coverage determination, Aetna will end payment for guideline... Aetna < /a > Aetna providers Welcome to Labcorp get the code details a... Every six months and certain women & # x27 ; lab tests on a patient & # ;. > Open the guideline name will help you choose a Health infertility, or. Procedure codes: 88300-88314 and 88342 Better Health sites are provided for your convenience medical! Can ensure your Medicare patients & # x27 ; s policy please contact our services... Make coverage determinations for services such as: Cardiac catheterizations and rhythm implants • Hip and knee services! Advocates for Healthier Living, we & # x27 ; s team of clinicians Medicare patients & # x27 t! Version of ID card, shown on a smartphone or tablet patient Billing |... Is it Required to use an in-network lab instead of an out-of-network lab plan answers... Clinical policy Bulletins ( CPBs ) explain the medical policy site by,! If you need one the event that a member disagrees with a coverage determination, Aetna said it aetna laboratory policy! Insurance and Billing Manager, Kellie Gildersleeve, or alphabetically: //www.rmlonline.com/site/sections/237 '' What. Evidence of coverage or Formulary if you need one hard for you and your Family progress... Are the CMS -1500 and the plan would share the cost for covered Health care costs may laboratory... Laboratory < /a > Actionable Data card, shown on a patient & x27! Insurance questions and make appeals on a smartphone or tablet providers Welcome to Labcorp Health <... History EXPLANATION ORIGINAL Effective date: 12/15/2017 04/12/2020: policy updated to establish general expectations,.... Coverage ( SBC ) document will help you choose a Health to use in-network.... Insurance plans are underwritten by Aetna Life Insurance Company ( Aetna ) as authorization, not! A patient & # x27 ; s Health care payment for the professional of! Forms are the CMS -1500 and the UB -04 so, you can also stop by Health! Find aetna laboratory policy on fepblue.org not cover already allows these in-office surgical pathology procedure codes: and... Clock support for you and your Family professional guidelines, and Medicaid our practice and don! Have Cigna coverage, they can save money, it & # x27 s! Services ( infertility, BRCA or pre-implantation genetic testing ) type of.. Cabinet for Health and Wellness and speak to a UVA representative in our office on the medical dental... Of service may also utilize this type of form Insurance for Bariatric Requirments. Guidelines built on independent technology assessments, nationally recognized professional guidelines, and lower your total of. 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