WebA – Paid on fee schedule or payment system other than OPPS [Fee Schedule or Other] Highmark WV designation: AA (Ambulance); AD (DME); AL (Lab); AM (National FS); AR (Physician FS); AT (Physician FS Subject to Discounting); AX (Other) CMS Fee Schedule x Single Factor E2 – Items and services for which pricing information and claims data are ... WebMay 27, 2024 · CMS develops fee schedules for physicians, ambulance services, clinical laboratory services, and durable medical equipment, prosthetics, orthotics, and supplies. See Related Links below for information about each specific fee schedule. ZIPCODE TO CARRIER LOCALITY FILE (see files below)
Durable Medical Equipment (DME) Fee Schedule - West Virginia
WebPlease refer to the appropriate West Virginia Medicaid provider manual for coverage determination. ... WVDHHR > Bureau for Medical Services > Fee Schedule. DRG Weights Updates. Disclaimer: Note that the absence or presence of a reimbursement code and its associated allowance on these pages does not guarantee Medicaid coverage of the item … WebJan 1, 2024 · Fee Schedules. Ambulance Fee Schedule (Effective 1-1-23) ASC Fee Schedule (Effective 1-1 -23) . Clinical Lab Fee Schedule (Effective 1-1-23) Critical Care Access … smaller than this
Summary of Benefits and Coverage: What this Plan Covers
WebHighmark Blue Cross Blue HKS, FEM 363 54828 Shield Highmark Blue Shield HKR, FER 378 54828 Highmark Health Insurance HKP, HQM, ZPM 377 71768 Company (HHIC) Mountain State providers will still continue to send their paper claims to: Mountain State Blue Cross Blue Shield P.O. Box 7026 Wheeling, WV 26003-7026 WebA – Paid on fee schedule [Fee Schedule or Other] Highmark WV designation: AA (Ambulance); AD (DME); AL (Lab); AM (National FS); AR (Physician FS); AT (Physician FS Subject to Discounting); AX (Other) CMS Fee Schedule x Single Factor E2 – Items and services for which pricing information and claims data are not available [No Pay] … WebApr 10, 2024 · Highmark's annual updates to the Skilled Nursing Facility Outpatient Fee Schedule for Medicare Advantage members. * Site of Service (SOS) Indicator should be … smaller than twin bed