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Providers Newsroom

Posted on Friday - May 25, 2018

Updated Notice of Hearing – Outpatient Facility Reimbursements 

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.

Posted on Thursday - July 26, 2018

HealthChoice no longer accepts verification of other insurance submitted by the provider.