Claims & Billing
Explore claims and billing resources, including filing requirements, payment guidelines, and coverage information.
Injections and Intravenous Infusion Billed with Other Services
Review HMSA billing guidelines for injections and intravenous infusion services billed with other procedures, including coding and claim submission requirements.
Intravenous Therapy - General and Billing Information
Guidelines for billing outpatient intravenous (IV) therapy, including required codes, documentation, and claim submission practices to ensure accurate processing and minimize delays.
Maternity - Global Billing
Review HMSA maternity global billing guidelines, including prenatal, delivery, and postpartum services, billing requirements, and reimbursement considerations.
Maternity Care - Billing
Learn about HMSA maternity care billing guidelines, including claim submission and coding information for prenatal, delivery, and postpartum services.
Medicine – Claim Documentation Requirements
Guidelines for medicine claim documentation, including required clinical notes and supporting documentation for accurate claim processing and reimbursement.
Miscellaneous Services – Claim Documentation Requirements
Guidelines for miscellaneous services claim documentation, including required clinical notes and supporting documentation for accurate claim processing and reimbursement.
Moderate (Conscious) Sedation
Guidelines for moderate (conscious) sedation services, including billing requirements, eligible CPT/HCPCS codes, and reimbursement guidelines.
Modifier Code 25
Review HMSA guidelines for Modifier 25, including billing requirements for significant, separately identifiable evaluation and management services.
Modifier Code 25 - Vision
Understand Modifier 25 for vision services, including when to use it, documentation requirements, and guidelines for accurate billing and reimbursement.
Modifier Code 26
Learn when and how to use Modifier Code 26 for professional component billing, including guidelines, requirements, and examples for accurate claims submission.