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

September 2016

Bill Diagnosis Codes in the Primary Position for Preventive Services


As you are aware, as a result of the Patient Protection and Affordable Care Act (PPACA), Harvard Pilgrim requires that most in-network preventive services be covered for members without cost sharing. Harvard Pilgrim would like to remind providers in our network that all diagnosis codes for preventive, screening, counseling, or wellness services should be billed in the primary position when indicated. Billing the appropriate diagnosis code in the primary position helps ensure that your claim will be accurately processed.

For more information regarding Harvard Pilgrim’s coverage of preventive services and a detailed list of diagnosis codes, please refer to the Patient Protection and Affordable Care Act (Federal Health Care Reform) section of Harvard Pilgrim’s online Provider Manual.

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Bill Diagnosis Codes in the Primary Position for Preventive Services

PUBLICATION INFORMATION

Eric H. Schultz,
President and Chief Executive Officer

Robert Farias,
Vice President, Network Services

Annmarie Dadoly,
Editor

Joseph O'Riordan,
Writer

Kristin Edmonston,
Production Coordinator