Practicefirst was recently notified by Univera of a new administrative policy effective March 15, 2020, to define the coverage and billing guidelines for preventive services billed on the same day as a problem-oriented visit by the same individual provider for the same member. This policy is in line with the Centers for Medicare & Medicaid Services and Current Procedural Terminology (CPT) guidelines.This policy will apply to all participating practitioners and all lines of business.
These services are subject to audit and policy updates at Univera’s discretion. Members are held harmless for all denials resulting from this administrative policy.
You can access the individual policies at: www.UniveraHealthcare.com/Adminpol. As a reminder, you must login with your username and password to access the administrative policies.
For Billing questions, please contact Tammy Bartlett at 716-389-3223 or firstname.lastname@example.org.