Accessibility

Acupuncture

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Balance Billing

BCBSNC Corporate Medical Policy (CMP)

     - Chiropractic

     - DME Vendors

     - EMG/NERVE 

       CONDUCTION

     - VAD

     - Orthotics

     - Spinal Manipulation

       under Anesthesia

Chief Complaint

CIGNA HealthCare Corporate Medical Policy (CMP)

Claims/HNS Payment Protocols

Clinical Examinations/ Re-Examinations

Chiropractic Manipulative Therapies

Coding (ICD, CPT, HCPCS)

Comparative Practice Pattern Reports (CPR) Program & Policies

Confidentiality of Health Care Records

Co-payment/Co-insurance/Deductibles

Covered Services

Diagnostic Impression

DME Services

Documentation Requirements for the Healthcare Record

Electrodes

Evaluation & Management Services (E/M)

Financial Hardship

Frequency of Visits

Group Practices

HNS Credentialing Policies & Procedures

Informed Consent

Insurance ID Cards

Locum Tenens Billing

Maintenance & Supportive Care

Medical Necessity

Modalities/Therapies

NC Board of Examiners Guidelines

Nerve Conduction/EMG

Non-Covered Services

Notifications to/from HNS

Patient Education & Instruction

Prescribing Drugs

Quality Improvement, Comparative Practice Patterns Report (CPR)

Radiology

Refunds/Overpayments

Requests for Patient Records

Retention of Records

Treatment of Family Members

Treatment Plans

Verifying Benefits

Waiving Co-pays, Deductibles & Co-Insurance

requests for patient records

 

 

Any requests for copies of healthcare records should be clearly documented in the healthcare record and should include the date of the request and the name of the person or entity requesting the records, as well as the date the copies were sent. 

 

Copies of healthcare and associated financial records for patients whose insurance plan contracts with HNS may be requested at any time by a patient, by HNS or a HNS contracted payor or the applicable state’s Department of Insurance (DOI). Network providers are contractually required to comply with all such requests. 

 

When records are requested, providers must promptly respond to such requests.  

 

 

Requests from Payors or DOI.

If requested, network providers are required to submit copies of health care records and must promptly comply with such requests.  If a “Due Date” is provided in the request, records must be received by the stated due date. If a “Due Date” is not provided, records must be submitted to the payor within 10 days of receipt of request.

 

Requests from HNS

Network providers are required to submit copies of health care records if requested by HNS and providers must promptly comply with such requests.  All requests from HNS for patient records will include a ‘due date’ and records must be submitted to HNS by the “due date” stated.

 

Requests from Patients

Network providers are required to provide copies of health care records if requested by the patient and providers must promptly comply with such requests.  Network providers must provide patient with copies of the health care record within 10 days of receipt of request from patient.

 

 

 

 

 

 

 

 


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