Transcription of Evernorth Behavioral Administrative Guidelines
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Evernorth Behavioral Administrative Guidelines
Table of Contents PCOMM-2021-1806 5/22 Evernorth Behavioral Administrative Guidelines For contracted psychiatrists, psychologists, master-level therapists, hospitals, and facility based programs. The Evernorth Behavioral Administrative Guidelines were previously referred to as the Medical Management Program. Page 2 of 117 Table of contents Introduction .. 8 Inside the guide .. 8 Our commitment and 8 Contact us .. 8 Notes .. 8 Regulatory addenda and state-specific 10 Important contact information .. 11 Demographic information and directory .. 13 Benefit plan designs and features .. 14 Products .. 17 Cigna Choice Fund .. 17 Cigna debit card transactions .. 17 ID cards quick guide .. 18 G ID 18 Strategic Alliances .. 18 Shared administration .. 20 Payer solutions 21 Medicare Advantage .. 22 Medicare managed care .. 22 Access to records and 22 Confidentiality and accuracy of participant records.
reimbursement rates applicable to Covered Services provided to Participants. However, the actual benefits payable by aPayer for Covered Services provided to a Participant in
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