Claims & Billing
Explore claims and billing resources, including filing requirements, payment guidelines, and coverage information.
Multi-page Claims
Learn how to submit multi-page claims to HMSA, including formatting requirements, documentation tips, and steps for accurate, timely processing.
Multiple Surgical Procedures
Review guidelines for billing multiple surgical procedures, including payment reductions, coding rules, and policy criteria for accurate reimbursement.
Nonparticipating Provider Enrollment and Billing Guidelines
Learn about nonparticipating provider enrollment and billing guidelines, including requirements, claim submission processes, and reimbursement policies.
Ophthalmological Sessions within the Aftercare Period
Understand ophthalmological sessions within the aftercare period, including coverage details, billing guidelines, and proper documentation requirements.
Oral Contraceptive Counseling by Pharmacists
Learn about oral contraceptive counseling by pharmacists, including eligibility, prescribing guidelines, and support for safe, effective use.
Organ Disease Lab Panel
Learn about HMSA organ disease lab panel requirements, including covered CPT panel codes, required laboratory tests, and claim submission guidance.
Pathology and Lab – Claim Documentation Requirements
Learn about pathology and lab claim documentation requirements, including necessary records, guidelines, and criteria for accurate claims processing.
Physical Medicine Therapies Codes 2024
Explore physical medicine and therapy codes for 2024, including covered services, coding requirements, and billing guidelines for accurate claims submission
Physical Medicine Therapies Codes 2025
Explore physical medicine and therapy codes for 2025, including covered services, coding requirements, and billing guidelines for accurate claims submission.
Place of Treatment – Outpatient Procedures List
View the place of treatment outpatient procedures list, including designated settings, guidelines, and requirements for appropriate care and billing.