Payer Policy Links

The links here have been checked as of 1/26/2019 and are working properly. Here are a few:

Aetna- Clinical Policy Bulletins

Blue Cross Blue Shield of Florida- Medical Coverage Policies

Blue Cross Blue Shield of North Carolina- Medical Policies by Alpha & Categorical Index

California Worker's Comp (DWC) - Regulations & Fee schedules from 2005 through 2016 for various specialties:

  • Ambulance, Ambulance fees
  • Durable medical equipment, prosthetics, orthotics and supplies
  • Inpatient hospital
  • Medical-legal
  • Outpatient hospital
  • Pathology and clinical laboratory
  • Pharmaceuticals
  • Physician services

CIGNA- Clinical, Payment & Reimbursement Policies

CMS NCCI Edits

CMS NCD/LCD Search

CMS NCDs- for LABS

Empire Blue - Reimbursement Policies

Empire Blue - Payment Policies Alpha Index

Humana- Coverage Policies for Humana

Medical Mutual of Ohio- Corporate Medical Policies Alpha Index

Oxford Health Plan- Medical & Administrative Policies

United Healthcare- Medical Policies

United Healthcare - Reimbursement Policies

Wellmark Blue Cross Blue Shield- Medical Policies in Alphabetical Listing