{"id":8990,"date":"2026-10-01T12:46:28","date_gmt":"2026-10-01T12:46:28","guid":{"rendered":"https:\/\/hnetalk.com\/provider\/?p=8990"},"modified":"2026-10-01T12:46:28","modified_gmt":"2026-10-01T12:46:28","slug":"payment-policy-updates-october-2026","status":"publish","type":"post","link":"https:\/\/hnetalk.com\/provider\/payment-policy-updates-october-2026\/","title":{"rendered":"Payment Policy Updates (October 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><\/strong>.<\/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

 <\/p>\n\n\n\n\n\n\n\n\n\n
Payment Policies Updates<\/strong><\/td>\nEffective Date<\/strong><\/td>\nEffective Date<\/strong><\/td>\n<\/tr>\n
Evaluation & Management Services (PP006POL) \u2013 UPDATED<\/strong><\/td>\nOctober 2026<\/td>\n\n
    \n
  • Commercial Line of Business<\/li>\n
  • Policy Change \u2013 Updated Coverage for Pelvic Exam<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Preventive Services (PP032POL) \u2013 UPDATED<\/strong><\/td>\nOctober 2026<\/td>\n\n
    \n
  • Commercial\u00a0 Line of Business<\/li>\n
  • Policy Change \u2013 Updated Coverage for Pelvic Exam<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Acupuncture Services (PP056POL) – REVIEWED<\/strong><\/td>\nOctober 2026<\/td>\n\n
    \n
  • All Lines of Business<\/li>\n
  • Annual Review \u2013 Aligned language to strengthen the policy<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Dermatology Services (PP052POL) – REVIEWED<\/strong><\/td>\nOctober 2026<\/td>\n\n
    \n
  • All Lines of Business<\/li>\n
  • Annual Review \u2013 Aligned language to strengthen the policy<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Serious Reportable Events (SRE) (PP021POL) – REVIEWED<\/strong><\/td>\nOctober 2026<\/td>\n\n
    \n
  • All Lines of Business<\/li>\n
  • Annual Review \u2013 Aligned language to strengthen the policy<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Allergy Testing (PP051POL) – UPDATED<\/strong><\/td>\nNovember 2026<\/td>\n\n
    \n
  • Commercial\u00a0 Line of Business<\/li>\n
  • Policy Change \u2013 Clarified billing language<\/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-8990","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-2l0","_links":{"self":[{"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8990","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/comments?post=8990"}],"version-history":[{"count":5,"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8990\/revisions"}],"predecessor-version":[{"id":9023,"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8990\/revisions\/9023"}],"wp:attachment":[{"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media?parent=8990"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/categories?post=8990"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/tags?post=8990"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}