Get updates to UniCare’s reimbursement policies and view complete policies. Claims submitted in a CMS-1500 format will be subject to the editing rules.
McKesson's ClaimsXten™ Rules – may be implemented from time to time to reflect the addition of:
Check updates and claims editing rules administered by ClaimsXten™:
Get an overview of ClaimsXten™ Rules.
Reimbursement Policies – View UniCare’s complete reimbursement policies.
Claims must be submitted in accordance with the reporting guidelines and instructions contained in the American Medical Association (AMA) CPT Manual, CPT® Assistant, and HCPCS publications. Providers are responsible for accurately reporting the medical, surgical, diagnostic and therapeutic services rendered to a member with the correct CPT and/or HCPCS codes, and for appending the applicable modifiers, when appropriate.