All Payer Information
This document replaces the September 2021 guidance. Updates are highlighted in yellow.
Click the link here to download a PDF of MVP: Monoclonal Antibodies COVID-19 Billing Guidance.
Click the link here to download a PDF of MVP: Updated COVID-19 Vaccine Reimbursement and Coding – New York Only.
Click the link here to download a PDF of MVP: Utilization Management Changes Due to COVID-19.
Click the link here to download a PDF of Telemedicine and Excellus: Telehealth Administrative Policy 22 Part II Effective May 24, 2021.
Click the link here to download a PDF of MVP: COVID-19 Vaccine Reimbursement and Coding.
Click the link here to download a PDF of Reinstating Reimbursement for Preventive Health Visits for Children and Adults via Telehealth During the Public Health Emergency.
Click the link here to download a PDF of Excellus: COVID-19 Viral and Antibody Testing and Supplies; Reimbursement Update.
Click the link here to download a PDF of MVP: COVID-19 Testing Update.
Click the link here to download a PDF of Excellus: Non-Coverage of CPT 99072 for All Lines of Business.
Click the link here to download a PDF of Excellus: RIT Cost-Share Update for Non-COVID-19 Telehealth Services.
Click the link here to download a PDF of UPDATE: Waiver of Member Cost-Share for COVID-19 & non-COVID-19 Telehealth Services; Reimbursement Reminder.
Click the link here to download a PDF of Excellus: Extending Reimbursement, Waiver of Member Cost-Share for COVID-19 and non-COVID-19 Telehealth Services.
Click the link here to download a PDF of MVP COVID-19 Update September 4, 2020.
Click the link here to download a PDF of MVP: Closing Gaps-In-Care Utilizing Telemedicine Services.
Click the link here to download a PDF of MVP: COVID-19 Treatment Coverage Update.
Click the link here to download a PDF of Excellus: NYS DFS Supplement No. 2 to Insurance Circular Letter No. 8.
Click the link here to download a PDF of June 15th MVP Behavioral Health Cost Share news.
Click the link here to download a PDF of June 16th Excellus Telehealth Preventive Visits.
Click the link here to download a PDF of June 17 UnitedHealthcare Telehealth and Other Updates.
Click the link here to download a PDF of Excellus COVID Diagnostic and Antibody Testing Administrative Policy.
Click the link here to download a PDF of MVP Elective Procedures Prior Authorization Update.
Click the link here to download a PDF of June 1 UnitedHealthcare Reimbursement Update.
Click the link here to download a PDF of Excellus COVID-19 Diagnostic and Antibody Testing Information.
Click the link here to download a PDF of Excellus Update on Rates for Telephone-Only Visits.
Click the link here to download a PDF of May 14 MVP Telephone-Only Visits Update.
Click the link here to download a PDF of Telehealth for Preventive Visits.
Click the link here to download a PDF of MVP New York COVID-19 Update.
Click the link here to download a PDF of Cost Sharing Waived for Medicare Advantage and Other Updates.
Click the link here to download a PDF of May 1st Revised Medicaid Telehealth Guidance.
Click the link here to download a PDF of MVP Telephone Visit Reimbursement.
Click the link here to download a PDF of Excellus Code Guidance for Most Common Telehealth Services.
Click the link here to download a PDF of MVP Medical Policy Updates Effective June 1, 2020.
Click the link here to download a PDF of MVP COVID-19 Update.
Click the link here to download a PDF of MVP COVID-19 Medicare Update.
Click the link here to download a PDF of MVP Utilization Management Changes Due to COVID-19.
Click the link here to download a PDF of MVP COVID-19 Update.
Click the link here to download a PDF of MVP Claims Status Process.
Click the link here to download a PDF of MVP CPT Code Update.
Click the link here to download a PDF of Telehealth Info for Behavioral Health Services.
Click the link here to download a PDF of UnitedHealthcare Telehealth Coding Guidance.
Click the link here to download a PDF of Excellus Use of Telehealth for PT OT ST Therapy Visits.
Click the link here to download a PDF of Excellus COVID Communications Reference Guide.
Click the link here to download a PDF of Telehealth Audio Only and Asynchronous Messaging Option for E/M Visits.
Click the link here to download a PDF of Excellus Vatica Telehealth Update.
Click the link here to download a PDF of Medicaid Update.
Click the link here to download a PDF of Medicaid COVID-19 Telehealth FAQs.
Physicians need to email their completed application to the Jurisdiction K (JK) Part B email address.
Click the link here to download a PDF of Department of Financial Services COVID-19 Update.
Click the link here to download a PDF of Telemedicine Billing Information.
Click the link here to download a PDF of UnitedHealthcare COVID update.
Aetna Medicare: cost sharing waived for telemedicine visits for any reason. Read more here. Aetna Commercial: cost sharing waived for telemedicine visits for any reason. Read more here.
Click the link here to download a PDF of UnitedHealthcare COVID-19 update.
Click the link here to download a PDF of Excellus Q&A.
Click the link here to download a PDF of 3/24 Excellus Provider Telehealth Presentation.
Click the link here to download a PDF of Excellus telemedicine info.
Click the link here to download a PDF of Excellus Memo.
Click the link here to download a PDF of Cigna Billing Guidance.
Click the link here to download a PDF of MVP Telemedicine Updates.
Click the link here to download a PDF of Excellus telemedicine info.
Click the link here to download a PDF for Excellus billing info.