This publication contains important information, including updates to policies and procedures, for physicians, dentists, other health care and dental professionals, facilities and their staff.
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Effective January 1, 2012, we will introduce a new provider network offered with a new, low-cost Individual and Family medical product.
On October 1, 2013, medical coding in U.S. health care settings will change from International Classification of Disease, Ninth Revision (ICD-9) to International Classification of Disease, Tenth Revision (ICD-10). This change will require major business and system changes throughout the health care industry.
Changes to our medical policies are listed below. Learn how policies are reviewed. Our Coding Toolkit includes codes that require clinical information (updated monthly), a complete list of code groupings and our Correct Code Editor (updated quarterly).
New clinical editing software to launch first quarter of 2012
Medical
Reimbursement
Dental
View our Dental Policy Manual.
Medication
Learn how obsolete medication codes are reviewed on a quarterly basis.
Summaries of past changes and detailed policies are available in our Medication Policy Manual.
View our group and Individual products Preferred Medication List/Formulary.
Search the Regence MedAdvantage + Rx and Medicare Part D formulary.