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Renueve antes del 15 de diciembre para tener cobertura el 1 de enero. Mantén tu cobertura con Ambetter Health.

Renueve antes del 15 de diciembre para tener cobertura el 1 de enero. Mantén tu cobertura con Ambetter Health.

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CC.PP.075 Newborn Inpatient Stays

Fecha: 01/07/25

Dear Provider,

Thank you for your continued partnership with Ambetter from Meridian. Ambetter is committed to continuously evaluating and improving overall Payment Integrity solutions as required by the State and Federal governing entities. We are writing today to inform you of policy CC.PP.075 Newborn Inpatient Stays which is effective on or after 7/1/2025.

Policy NumberCC.PP.075
Policy NameNewborn Inpatient Stays
Line of Business ImpactedMarketplace
EX CodeMarketplace: Exhn (Retain Pay): Healthy Newborn Claim paid per policy, remit records for reconsideration
DescriptionReview claims for coding appropriateness when normal newborn stays with non-NICU revenue codes are billed.

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.

Sincerely,

Ambetter from Meridian