Payer Information

All Payer Information

April 28th, 2023 | MVP
May 4th, 2022 | NewsPayer InformationMVP
February 8th, 2022 | MedicaidPayer InformationCOVID-19
February 1st, 2022 | NewsMedicaidPayer Information
January 18th, 2022 | Payer InformationMVP
January 5th, 2022 | MedicaidPayer InformationCOVID-19

 This document replaces the September 2021 guidance. Updates are highlighted in yellow. 

December 17th, 2021 | NewsPayer InformationCOVID-19
August 3rd, 2021 | MedicaidPayer InformationCOVID-19
July 20th, 2021 | MedicaidPayer InformationCOVID-19
July 20th, 2021 | Payer InformationMVPCOVID-19
July 20th, 2021 | VaccineMedicaidPayer InformationCOVID-19
April 5th, 2021 | Payer InformationMVPCOVID-19

Click the link here to download a PDF of MVP: Monoclonal Antibodies COVID-19 Billing Guidance.

March 18th, 2021 | Payer InformationMVPCOVID-19

Click the link here to download a PDF of MVP: Updated COVID-19 Vaccine Reimbursement and Coding – New York Only.

March 1st, 2021 | Payer InformationMVPCOVID-19

Click the link here to download a PDF of MVP: Utilization Management Changes Due to COVID-19.

February 24th, 2021 | ExcellusCOVID-19

Click the link here to download a PDF of Telemedicine and Excellus: Telehealth Administrative Policy 22 Part II Effective May 24, 2021.

January 12th, 2021 | Payer InformationMVPCOVID-19

Click the link here to download a PDF of MVP: COVID-19 Vaccine Reimbursement and Coding.

December 11th, 2020 | ExcellusCOVID-19

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.

November 30th, 2020 | ExcellusCOVID-19

Click the link here to download a PDF of Excellus: COVID-19 Viral and Antibody Testing and Supplies; Reimbursement Update.

November 11th, 2020 | MVPCOVID-19

Click the link here to download a PDF of MVP: COVID-19 Testing Update.

October 28th, 2020 | ExcellusCOVID-19

Click the link here to download a PDF of Excellus: Non-Coverage of CPT 99072 for All Lines of Business.

September 30th, 2020 | Payer InformationExcellus

Click the link here to download a PDF of Excellus: RIT Cost-Share Update for Non-COVID-19 Telehealth Services.

September 25th, 2020 | Payer InformationExcellus

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.

September 25th, 2020 | ExcellusCOVID-19

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.

September 8th, 2020 | MVPCOVID-19

Click the link here to download a PDF of MVP COVID-19 Update September 4, 2020.

August 24th, 2020 | Payer InformationMVP

Click the link here to download a PDF of MVP: Closing Gaps-In-Care Utilizing Telemedicine Services.

July 8th, 2020 | Payer InformationMVP

Click the link here to download a PDF of MVP: COVID-19 Treatment Coverage Update.

July 8th, 2020 | Payer InformationExcellus

Click the link here to download a PDF of Excellus: NYS DFS Supplement No. 2 to Insurance Circular Letter No. 8.

June 17th, 2020 | Payer InformationMVPCOVID-19

Click the link here to download a PDF of June 15th MVP Behavioral Health Cost Share news.

June 17th, 2020 | Payer InformationExcellusCOVID-19

Click the link here to download a PDF of June 16th Excellus Telehealth Preventive Visits.

June 17th, 2020 | Payer InformationCOVID-19UnitedHealthcare

Click the link here to download a PDF of June 17 UnitedHealthcare Telehealth and Other Updates.

June 10th, 2020 | Payer InformationExcellusCOVID-19

Click the link here to download a PDF of Excellus COVID Diagnostic and Antibody Testing Administrative Policy.

June 3rd, 2020 | Payer InformationMVPCOVID-19

Click the link here to download a PDF of MVP Elective Procedures Prior Authorization Update.

June 1st, 2020 | Payer InformationCOVID-19UnitedHealthcare

Click the link here to download a PDF of June 1 UnitedHealthcare Reimbursement Update.

May 26th, 2020 | Payer InformationExcellus

Click the link here to download a PDF of Excellus COVID-19 Diagnostic and Antibody Testing Information.

May 18th, 2020 | Payer InformationExcellus

Click the link here to download a PDF of Excellus Update on Rates for Telephone-Only Visits.

May 15th, 2020 | Payer InformationMVP

Click the link here to download a PDF of May 14 MVP Telephone-Only Visits Update.

May 13th, 2020 | Payer InformationExcellus

Click the link here to download a PDF of Telehealth for Preventive Visits.

May 8th, 2020 | Payer InformationMVP

Click the link here to download a PDF of MVP New York COVID-19 Update.

May 8th, 2020 | Payer InformationUnitedHealthcare

Click the link here to download a PDF of Cost Sharing Waived for Medicare Advantage and Other Updates.

May 4th, 2020 | MedicaidPayer Information

Click the link here to download a PDF of May 1st Revised Medicaid Telehealth Guidance.

May 1st, 2020 | Payer InformationMVP

Click the link here to download a PDF of MVP Telephone Visit Reimbursement.

April 27th, 2020 | Payer InformationExcellus

Click the link here to download a PDF of Excellus Code Guidance for Most Common Telehealth Services.

April 24th, 2020 | Payer InformationMVP

Click the link here to download a PDF of MVP Medical Policy Updates Effective June 1, 2020.

April 24th, 2020 | Payer InformationMVP

Click the link here to download a PDF of MVP COVID-19 Update.

April 24th, 2020 | Payer InformationMVP

Click the link here to download a PDF of MVP COVID-19 Medicare Update.

April 24th, 2020 | Payer InformationMVP

Click the link here to download a PDF of MVP Utilization Management Changes Due to COVID-19.

April 24th, 2020 | Payer InformationMVP

Click the link here to download a PDF of MVP COVID-19 Update.

April 24th, 2020 | Payer InformationMVP

Click the link here to download a PDF of MVP Claims Status Process.

April 24th, 2020 | Payer InformationMVP

Click the link here to download a PDF of MVP CPT Code Update.

April 16th, 2020 | Payer InformationExcellus

Click the link here to download a PDF of Telehealth Info for Behavioral Health Services.

April 15th, 2020 | Payer InformationUnitedHealthcare

Click the link here to download a PDF of UnitedHealthcare Telehealth Coding Guidance.

April 13th, 2020 | Excellus

Click the link here to download a PDF of Excellus Use of Telehealth for PT OT ST Therapy Visits.

April 13th, 2020 | Excellus

Click the link here to download a PDF of Excellus COVID Communications Reference Guide.

April 13th, 2020 | Excellus

Click the link here to download a PDF of Telehealth Audio Only and Asynchronous Messaging Option for E/M Visits.

April 8th, 2020 | Payer Information

Click the link here to download a PDF of Excellus Vatica Telehealth Update.

April 2nd, 2020 | MedicaidPayer Information

Click the link here to download a PDF of Medicaid Update.

April 1st, 2020 | MedicaidPayer Information

Click the link here to download a PDF of Medicaid COVID-19 Telehealth FAQs.

April 1st, 2020 | MedicarePayer Information

Physicians need to email their completed application to the Jurisdiction K (JK) Part B email address.

April 1st, 2020 | Payer InformationExcellus

Click the link here to download a PDF of Department of Financial Services COVID-19 Update.

March 31st, 2020 | Payer Information

Click the link here to download a PDF of Telemedicine Billing Information.

March 30th, 2020 | Payer InformationUnitedHealthcare

Click the link here to download a PDF of UnitedHealthcare COVID update.

March 26th, 2020 | Payer InformationAetna

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.

March 26th, 2020 | Payer InformationUnitedHealthcare

Click the link here to download a PDF of UnitedHealthcare COVID-19 update.

March 26th, 2020 | Payer InformationExcellus

Click the link here to download a PDF of Excellus Q&A.

March 26th, 2020 | Payer InformationExcellus

Click the link here to download a PDF of 3/24 Excellus Provider Telehealth Presentation.

March 26th, 2020 | Payer InformationExcellus

Click the link here to download a PDF of Excellus telemedicine info.

March 23rd, 2020 | Payer InformationExcellus

Click the link here to download a PDF of Excellus Memo.

March 20th, 2020 | Payer InformationCigna

Click the link here to download a PDF of Cigna Billing Guidance.

March 20th, 2020 | Payer InformationMVP

Click the link here to download a PDF of MVP Telemedicine Updates.

March 18th, 2020 | Payer InformationExcellus

Click the link here to download a PDF of Excellus telemedicine info.

March 15th, 2020 | Payer InformationExcellus

Click the link here to download a PDF for Excellus billing info.