Provider Claims Policies
Welcome to NHP’s claim policies page. Check this page often for announcements about new and upcoming claims policy changes. If you have questions about the claims policies, please contact us.
Add-on Codes Policy
After Hours EM Policy
Age Gender to Diagnosis Code Policy
Ancillary Policy
Anesthesia Policy
Assistant Surgeon Policy
Bilateral Policy
Bundle Policy
CCI Editing Policy
Claim Submission Policy
COB Policy
COB Savings Policy
Correcting Provider Overpay Underpay Policy
Global Days Policy
Multiple & Endoscopic Policy
Preventive Medicine Policy
Provider Dispute Processing Policy
Provider Meet & Greet Visits Policy
Rebundling Policy
Split Surgical Package Policy
Subrogation Policy
Supply Policy
Team Conferences Policy
Telemedicine Policy
Timely Filing Policy
Pulse Oximetry Policy
Work Comp Submission Policy
Please Note
Network Health Plan/Network Health Insurance Corporation (NHP/NHIC) claims policies are intended as a general reference resource and are not intended to address every aspect of a reimbursement situation. NHP/NHIC uses reasonable discretion interpreting and applying these policies to services being delivered. The claims policies are not intended to cover all topics and issues related to reimbursement for services rendered to NHP/NHIC participants.
The claims policies are the property of NHP/NHIC and unauthorized copying, use and distribution are strictly prohibited. NHP/NHIC reserves the right to terminate, change, suspend, or discontinue any claims policies at anytime without notice. Changes in these claims policies will be made effective when posted to this site. The claim policies are provided on an "as is" and "as available" basis without warranties of any kind, either express or implied.