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Ambetter of Oklahoma is issuing a new policy effective April 1 2022

Fecha: 03/06/22

Thank you for your continued partnership with Ambetter of Oklahoma. 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.

Ambetter of Oklahoma is issuing a new policy effective *4/1/2022*.

  • Policy Number: CC.PP.071
  • Policy Name: Evaluation and Management Services Billed with Treatment Rooms
  • Policy Description: Disallows E&M services in treatment rooms as this does not represent a treatment type of service.
  • Lines of Business: Marketplace

For detailed information about this policy, please refer to our Clinical & Payment Policies. And for questions about this or any of our payment policies, please don’t hesitate to reach out to our Provider Services team at 1-833-492-0679.