Provider Remittance Advices
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Medical and Payment Policies

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Medical
Therapeutic Shoes for Diabetics Mandate
Thermal Capsulorrhaphy as a Treatment of Joint Instability
Thoracic Lumbo Sacral Orthosis with Pneumatics
Topographic Brain Mapping
Transanal Radiofrequency Treatment of Fecal Incontinence
Transcutaneous Electrical Nerve Stimulation
Transesophageal Endoscopic Treatments for Gastroesophageal Reflux
Transpupillary Thermotherapy for Treatment of Choroidal Neovascularization
Transtympanic Micropressure Applications as a Treatment of Meniere's Disease
Transvaginal and Transurethral Radiofrequency Tissue Remodeling for Urinary Stress Incontinence
Payment
Telemedicine/Telephone Services for Commercial Products - Effective 1/1/2021
Telemedicine/Telephone Services for Medicare Advantage Plans during the Public Health Emergency (PHE) - Effective 1/1/2021
TEMPORARY Cost Share Waiver for Treatment of Confirmed Cases of COVID- 19 Effective 4/1/20
TEMPORARY COVID-19 Diagnostic Testing
TEMPORARY COVID-19 Pediatric Vaccination Preventative Medicine Counseling Services for Commercial Members
TEMPORARY Encounter for Determination of Need for COVID-19 Diagnostic Testing Effective 3/18/20
TEMPORARY Telemedicine/Telehealth and Telephone Preventive Medicine Evaluation and Management Visits and Annual Wellness Visits During the COVID-19 Crisis Effective 3/18/20
TEMPORARY Telemedicine/Telehealth and Telephone Services During the COVID-19 Crisis – Effective 3/18/20 - 12/31/20
TEMPORARY Telemedicine/Telehealth and Telephone Services During the COVID-19 Crisis – Effective 3/5/2020 – 3/17/2020
TEMPORARY Timely Filing Limit Extension Policy – Additional 180 Days During the COVID-19 Crisis Effective 3/18/20 - 3/31/21
Termination of Pregnancy
Therapeutic Eyeglasses and Contact Lenses
Timely Filing Limit
Transitional Care, Chronic Care and Complex Chronic Care Management
Transplants- Travel and Accommodations for Blue CHiP for Medicare
Prior Authorization
Transcatheter Mitral Valve Repair
Transcranial Magnetic Stimulation
Transurethral Water Vapor Thermal Therapy and Transurethral Water Jet Ablation (Aquablation) for Benign Prostatic Hyperplasia
Tumor Treating Fields Therapy