Changes to Independence medical and claim payment policies for our commercial and Medicare Advantage benefit programs occur, for a variety of reasons including, in response to industry, medical, and regulatory changes. We encourage you to view the Site Activity section of our Medical Policy Portal to stay up to date with changes to our policies.
The Site Activity section is updated in real time as changes are made to the medical and claim payment policies. Topics include:
- New Policies
- Updated Policies
- Reissued Policies
- Coding Updates
- Archived Policies
For your convenience, the information provided in Site Activity can be printed to keep a copy on hand as a reference.
To access the Site Activity section, go to our Medical Policy Portal and select Accept and Go to Medical Policy Online. From there you can select Commercial or Medicare Advantage under Site Activity to view the monthly changes. To search for active policies, select either the Commercial or Medicare Advantage tab from the top of the page. To access policies from Independence NaviNet® Plan Central, select Medical Policy Portal under Quick Links in the right hand column.
Medical codes for services that require precertification
A list of services that require preapproval/precertification from Independence prior to being performed for our members is available for providers on our Medical Policy Portal. This list, Services that require precertification, includes the CPT® and HCPCS codes, where applicable, that correlate with the services and injectable drugs that are included on our Preapproval/Precertification List.
To access Services that require precertification, visit our Medical Policy Portal and select Accept and Go to Medical Policy Online. Choose the Commercial or Medicare Advantage tab from the top of the page, then select Services Requiring Precertification from the left-hand menu.
Links to Services that require precertification have also been added to the Quick Links section on the right-hand side of this page.
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