Providers Once a member begins receiving hospice services, all care for their terminal illness will be coordinated by the hospice organization. A review of our records indicates that hospice services for our members who have commercial or Medicaid Managed Care coverage...
Excellus BlueCross BlueShield will implement a new administrative policy entitled “Related Services” effective January 1, 2020, for all lines of business. The Health Plan will not cover services deemed to be related to a noncovered surgical service, based on the...
Our Health Plan uses nationally recognized criteria, including InterQual, to determine appropriateness of care for our members. We would like you to be aware that effective October 15, 2019, we will adopt the 2019 clinical revisions to InterQual criteria,...
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