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Upcoming changes to billing requirements

May 30, 2014

Effective August 1, 2014, all hospital, ancillary, and professional participating providers are required to bill Usual, Customary, and Reasonable charges for covered services provided to IBC members. Updates reflecting this new billing requirement will be made to the Hospital Manual for Participating Hospitals, Ancillary Facilities, and Ancillary Providers and the Provider Manual for Participating Professional Providers in the sections listed below.

For hospital and ancillary providers:

  • Billing & Reimbursement for Hospital Services
  • Billing & Reimbursement for Ancillary Services

For professional providers:

  • Billing

Updated manuals will be available through the NaviNet® web portal after August 1, 2014.

NaviNet® is a registered trademark of NaviNet, Inc., an independent company.


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