{"id":8950,"date":"2026-07-30T13:19:47","date_gmt":"2026-07-30T13:19:47","guid":{"rendered":"https:\/\/hnetalk.com\/provider\/?p=8950"},"modified":"2026-07-30T13:19:47","modified_gmt":"2026-07-30T13:19:47","slug":"payment-policy-updates-august-2026","status":"publish","type":"post","link":"http:\/\/hnetalk.com\/provider\/payment-policy-updates-august-2026\/","title":{"rendered":"Payment Policy Updates (August 2026)"},"content":{"rendered":"

Health New England is committed to reviewing our internal procedures and defining coverage and billing guidelines with applicable laws and industry standards to ensure our policies are appropriate. To access payment policies, please visit\u202fhealthnewengland.org\/Providers\/Resources<\/a>.<\/p>\n

If you have any questions about the information in this notice, please contact Health New England Provider Experience at (800) 842-4464, extension 5000. A representative is available Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m.<\/p>\n

The following payment policies have been updated:<\/p>\n\n\n\n\n\n\n\n\n\n\n
Payment Policy Updates<\/strong><\/td>\nEffective Date<\/strong><\/td>\nNotes<\/strong><\/td>\n<\/tr>\n
Gastroenterology Services (PP066POL) \u2013 NEW<\/strong><\/td>\nOctober 2026<\/td>\n\n
    \n
  • All Lines of Business<\/li>\n
  • New Policy – Outlines what we do today and strengthening our Payment Policy Portfolio<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Sexually Transmitted Infectious Testing (PP058POL) \u2013 NEW<\/strong><\/td>\nOctober 2026<\/td>\n\n
    \n
  • Commercial and Medicare Only<\/li>\n
  • New Policy – Outlines what we do today with coding limitations to strengthen our Payment Policy Portfolio<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Audit Program (PP010POL) \u2013 REVIEWED<\/strong><\/td>\nAugust 2026<\/td>\n\n
    \n
  • All Lines of Business<\/li>\n
  • Annual Review – Aligned language to strengthen policy<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Newborn and Neonatal Intensive Care (PP019POL) \u2013 REVIEWED<\/strong><\/td>\nAugust 2026<\/td>\n\n
    \n
  • All Lines of Business<\/li>\n
  • Annual Review – Aligned language to strengthen policy<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Non-Reimbursed Revenue Code (PP008POL) \u2013 REVIEWED<\/strong><\/td>\nAugust 2026<\/td>\n\n
    \n
  • All Lines of Business<\/li>\n
  • Annual Review – Aligned language to strengthen policy<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Observation Services (PP004POL) \u2013 REVIEWED<\/strong><\/td>\nAugust 2026<\/td>\n\n
    \n
  • All Lines of Business<\/li>\n
  • Annual Review – Aligned language to strengthen policy<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Pre\/Post Claims Payment Review (PP049POL) <\/strong>\u2013 REVIEWED<\/strong><\/td>\nAugust 2026<\/td>\n\n
    \n
  • All Lines of Business<\/li>\n
  • Annual Review – Aligned language to strengthen policy<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"

    Health New England is committed to reviewing our internal procedures and defining coverage and billing guidelines with applicable laws and industry standards to ensure our policies are appropriate. To access payment policies, please visit\u202fhealthnewengland.org\/Providers\/Resources. If you have any questions about the information in this notice, please contact Health New England Provider Experience at (800) 842-4464, […]<\/p>\n","protected":false},"author":11,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[92],"tags":[],"class_list":["post-8950","post","type-post","status-publish","format-standard","hentry","category-provider-newsletter"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p6ZZHB-2km","_links":{"self":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8950","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/comments?post=8950"}],"version-history":[{"count":1,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8950\/revisions"}],"predecessor-version":[{"id":8951,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8950\/revisions\/8951"}],"wp:attachment":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media?parent=8950"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/categories?post=8950"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/tags?post=8950"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}