Claims & Billing
Explore claims and billing resources, including filing requirements, payment guidelines, and coverage information.
Surgical Services from the 60000 Series of CPT Billed with Other Services
Learn HMSA guidelines for surgical services from the 60000 CPT series billed with other services, including coverage, coding rules, and reimbursement policies.
Telehealth
Learn about telehealth services, including virtual care options, eligibility, coverage, and guidelines for accessing convenient healthcare online.
Time Periods for Submission of Claims
Learn about claim submission time limits, including deadlines, filing requirements, and key guidelines to ensure timely processing and reimbursement.
Trauma Team Activation Coding
Learn about trauma team activation coding, including billing guidelines, criteria, and documentation requirements for accurate reimbursement.
UCF Instructions - Long Form
Access detailed UCF long form instructions, including completion guidelines, required fields, and submission tips for accurate, compliant claims processing.
Ultrasound
Review HMSA guidelines for ultrasound services, including coverage criteria, prior authorization requirements, billing practices, and documentation standards.
Unbundling
Learn HMSA guidelines on unbundling, including coding rules, reimbursement policies, and compliance requirements to prevent improper billing practices.
Unlisted and Miscellaneous Codes - Claim Documentation Requirements
Understand HMSA requirements for unlisted and miscellaneous codes, including claim documentation, report submissions, and billing guidelines for accurate reimbursement.
Verifying Claims Status and Resubmission of Processed Claims (UB-04)
Guidelines for verifying claim status and resubmitting UB-04 claims, including status inquiry methods, duplicate prevention, and corrected claim requirements.