Back to Insights and Updates for ProvidersAugust 2024

Reminder: Correct coding and claims edits

All products

As a reminder, as part of our commitment to ensuring accurate claims processing, claims submitted to Point32Health are subject to edits that are maintained and updated at regular intervals and are generally based on the Centers for Medicare and Medicaid’s guidelines, national and state regulatory requirements, medical society recommendations, drug manufacturers’ package label inserts, and the Plan’s clinical, administrative, and payment policies.


Annmarie Dadoly,
Senior Manager, Provider Communications

Joseph O’Riordan, Susan Panos, Ellen Gustavson, Ryan Francis, Stephen Wong,
Writers

Kristin Edmonston,
Production Coordinator

Kristina Cicelova,
Graphic Designer