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Providers Newsroom

Posted on Wednesday - October 3, 2018

Notice of Hearing 
Changes in Reimbursement Rates or Methodology 
For HealthChoice and Department of Corrections 
Ambulance Service Providers

Posted on Friday - May 25, 2018

Final J1 Status Indicator Outpatient Fee Schedule Methodology

Posted on Monday - August 6, 2018

With the new TPA, providers might have noticed longer turnaround times as HealthChoice has moved more towards industry standard claim editing. Claims are still being processed within contractual provisions. Below are some helpful tips when it comes to the HealthChoice TPA:

Posted on Monday - July 30, 2018

While a procedure code may be listed on the fee schedule, all codes are subject to plan policies and provisions, including clinical editing and medical necessity guidelines. Inclusion or exclusion of a code does not constitute or imply member coverage or provider reimbursement.