Reimbursement Policy Update - Scope of License (Professional)

In the December 2017 edition of Network Update, we announced a new Scope of License Policy which states that we will not reimburse services performed by a provider that are outside their state license requirements. We are updating our editing systems to deny services deemed to be outside of a specific specialty’s scope of license.

 

For more information about this policy, select your state to visit the Reimbursement Policy page: Indiana, Kentucky, Missouri, Ohio, Wisconsin.