| Reimbursement
Policy Disclaimer
This Policy is intended only for physicians and other
health care professionals. By clicking “I Accept” below,
you acknowledge your understanding and agreement with
the following:
Description:
- The Asuris Reimbursement Policy Manual documents
payment methodology for medical and surgical services.
THIS REIMBURSEMENT POLICY DOES NOT APPLY TO ANY OTHER
COMPANY.
Use:
- Reimbursement Policy is used by Asuris to provide
consistent and predictable claims payment.
Conflict With Other Documents:
- Reimbursement Policy facilitates the systematic
application of Asuris subscriber contracts, provider
contracts, and medical policies. These documents
will govern in the event of a conflict with the Reimbursement
Policy.
Restrictions And Limitations:
- Reimbursement Policy is interpreted and applied
in the sole discretion of Regence.
- Reimbursement Policy does not determine the schedule
of benefits. Rather, Reimbursement Policy supports
the schedule of benefits by establishing payment
rules, coding hierarchy and related processing systems’ edits.
To the extent there are situations not documented
in the Reimbursement Policy, coding software guidelines
control.
- Reimbursement Policy does not dictate to other
BlueCross BlueShield plans how to set allowables
for their providers under BlueCard plans.
- Reimbursement Policy does not constitute medical
advice and DOES NOT guarantee any results or outcomes.
- Reimbursement Policy is the property of Regence
and you are strictly prohibited from using it for
any commercial use whatsoever. Commercial use does
not include use of the Reimbursement Policy related
to benefit payment for health care services received
by a Regence member.
- Current Procedural Terminology (CPT™) codes
and descriptions are the property of the American
Medical Association with all rights reserved. You
are strictly prohibited from using CPT™ codes for
any unauthorized use whatsoever.
- Every effort is made to update the Reimbursement
Policy in a timely manner. However, there is no obligation
to update this site and the Reimbursement Policy
displayed may be out of date.
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