IVIG - BMC HealthNet Plan
IVIG - BMC HealthNet Plan
IVIG - BMC HealthNet Plan
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Young; American Heart Association; American Academy of Pediatrics. Diagnosis,<br />
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professionals from the Committee on Rheumatic Fever, Endocarditis and Kawasaki<br />
Disease, Council on Cardiovascular Disease in the Young, American Heart<br />
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This guideline provides information on <strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong> claims adjudication processing guidelines. The use of this<br />
guideline is not a guarantee of payment and will not determine how a specific claim(s) will be paid. Reimbursement is<br />
based on member benefits and eligibility, medical necessity review, where applicable, coordination of benefits, adherence<br />
to <strong>Plan</strong> policies, clinical coding criteria, and the <strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong> agreement with the rendering or dispensing provider.<br />
Reimbursement policies may be amended at <strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong>’s discretion. <strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong> will always use the<br />
most recent CPT and HCPCS coding guidelines.<br />
<strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong> – <strong>IVIG</strong><br />
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