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IVIG - BMC HealthNet Plan

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71. Van Doorn P, Kuitwaard K, Walgaard C, et al. <strong>IVIG</strong> treatment and prognosis in<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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