News
Payment and Utilization Policies
Date: 11/30/22
Thank you for your continued partnership with Ambetter of Tennessee. As you know, we continually review and update our payment and utilization policies to ensure that they are designed to comply with industry standards while delivering the best patient experience to our members. We are writing today to inform you of new policies Ambetter of Tennessee will be implementing effective on or after 3/1/2023.
Policy Number | Policy Name | Policy Description | Lines of Business |
|---|---|---|---|
CP.MP.242 | Pulmonary Function Testing | Limits pulmonary function testing to members over the age of three and for medically necessary indications. | Medicaid Medicare Marketplace Commercial |
For detailed information about these policies, please refer to our website at www.ambetteroftennessee. And for questions about this or any of our payment policies, please don’t hesitate to reach out to our Provider Services team at 1-833-709-4735.