Administrative Billing / Coding Guidelines and Payment Policies

This is not an exhaustive list of all billing, coding and payment guidelines and policies. Guidelines and policies are updated regularly and are subject to change as State, Federal, CMS, AMA, Neighborhood and other industry standards change.

To inquire about guidelines not listed here, please contact Provider Services. These guidelines are not intended to certify coverage availability. While services or technology may be determined by Neighborhood to be medically necessary, it may not be part of a member's benefit plan.

For more information please review your Provider Manual or contact Neighborhood Member Services at 1-800-459-6019 for more information about any of our programs.

Find an Administrative Billing / Coding Guideline and Payment Policies from our alphabetical list:

All links below are PDFs.

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