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Network Matters
News and Information for the
Harvard Pilgrim Health Care Network

January 2013

Payment Policy Update: Refraction Services


Harvard Pilgrim reimburses contracted providers for ophthalmology services in accordance with specific state practice regulations. In keeping with the industry standard, Harvard Pilgrim will no longer reimburse for refraction services (CPT code 92015) when this code is billed with an Evaluation and Management service (CPT 99201–99499) or a medical eye exam service (CPTs 92002, 92004, 92012 and 92014) for the same member during the same session. For more information, see the updated Vision Services Payment Policy.

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PUBLICATION INFORMATION

Eric H. Schultz,
President and Chief Executive Officer

Richard Weisblatt PhD,
Senior Vice President, Provider Network and Product Development

Joann Peck,
Manager, Network Planning and Administration

Annmarie Dadoly,
Editor

Kristin Edmonston,
Production Coordinator