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Payment Integrity solutions

Date: 09/16/24

Thank you for your continued partnership with Ambetter from Meridian. As you know, we are committed to continuously evaluating and improving overall Payment Integrity solutions as required by State and Federal governing entities. We are writing today to inform you of new policies Ambetter from Meridian will be implementing effective on or after 10/21/2024.

 Edit Name Description Lines of Business
NCD Non-Covered Lab DiagnosisEnforcement of National Coverage Determination (NCD) guidelines when diagnostic lab testing services are billed only with a diagnosis that is not covered per the NCD.Medicare
Marketplace
Commercial


Thank you for your continued participation and cooperation in our ongoing efforts to render quality health care to our members. We look forward to helping you provide the highest quality of care for our members.