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Provider Manual

Claims Coding Resources

Last Updated on August 23, 2018

Providers acknowledge that Security Health Plan may use claim code editing processes for claims adjudication. All Security Health Plan code edits shall be based upon recognized industry standards including but not limited to CCI, CPT, AMA, CMS, or other professional association recommendations.

As a payor, under federal fraud and abuse guidelines, Security Health Plan is restricted from instructing providers on how to bill. 

 Resources:

Below are a few resources that Security Health Plan suggests as guidance for proper coding: