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Obstetrical Ultrasonography - Oxford Health Plans

www.oxhp.com

The fourth and subsequent obstetrical ultrasound procedure per Member per pregnancy performed by a participating provider as outlined are subject to utilization review (pre-certification) by eviCore healthcare. Oxford has engaged eviCore healthcare to perform initial reviews of requests for pre-certification and Medical necessity reviews.

  Health, Plan, Oxford, Ultrasound, Obstetrical, Obstetrical ultrasound, Oxford health plans

Participating Provider Request for ... - Oxford Health Plans

www.oxhp.com

• a corrected claim that we did not request, please send your request to the Inquiry address. • a non-clinical related claim appeal on your own ... o Disputing reimbursement policy (e.g., payment amount, contract rate, bundling, global days, maximum frequency per date, etc. Please explain in Comments section below).

  Health, Plan, Claim, Oxford, Disputing, Oxford health plans

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