Billing Guidelines and Payment Policies

The payment policies listed below is not an exhaustive list of all billing, coding and payment guidelines and policies. To inquire about guidelines not listed here, contact Neighborhood Provider Services at 1-800-963-1001.

Guidelines and policies are updated regularly and are subject to change as State, Federal, CMS, AMA, Neighborhood and other industry standards change.  For more information, please refer to Neighborhood’s Provider Manual.

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.

All current payment polices are listed below in alphabetical order (all links will open as a PDF document in a new webpage). Previous versions of all temporary and permanent payment policies, as well as, other documents formerly listed on this webpage, are listed on Billing Guidelines and Payment Policies Archive webpage.  

 

A

B

—

C

D

E

F

—

G

—

H

I

J

—

K

—

L

—

M

N

O

P

Pharmaceutical policies and guidance are published on Neighborhood’s Pharmacy webpage.

Q

—

R

—

S

T

U

V

W

—

X

—

Y

—

Z

—