{"id":9030,"date":"2026-10-29T17:02:23","date_gmt":"2026-10-29T17:02:23","guid":{"rendered":"https:\/\/hnetalk.com\/provider\/payment-policy-updates-nov-26\/"},"modified":"2026-10-30T19:15:39","modified_gmt":"2026-10-30T19:15:39","slug":"payment-policy-updates-nov-26","status":"publish","type":"post","link":"https:\/\/hnetalk.com\/provider\/payment-policy-updates-nov-26\/","title":{"rendered":"Payment Policy Updates (November 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\n\n\n\n\n\n\n\n
Policy Updates<\/strong><\/td>\nEffective Date<\/strong><\/td>\nNotes<\/strong><\/td>\n<\/tr>\n
CT of Abdomen and Pelvis<\/strong><\/p>\n

(PP070POL) \u2013 NEW POLICY<\/strong><\/td>\n

January 2027<\/td>\n\n
    \n
  • All Lines of Business<\/li>\n
  • Outlines what we do today with coding coverage and reimbursement to strengthen our Payment Policy Portfolio<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Cardiac Services<\/strong><\/p>\n

(PP065POL) \u2013 UPDATED<\/strong><\/td>\n

January 2027<\/td>\n\n
    \n
  • All Lines of Business<\/li>\n
  • Policy Update<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Dialysis Services<\/strong><\/p>\n

(PP055POL) – UPDATED<\/strong><\/td>\n

January 2027<\/td>\n\n
    \n
  • Commercial LOB<\/li>\n
  • Policy Update<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Outpatient Rehabilitative Services<\/strong><\/p>\n

(PP022POL) – UPDATED<\/strong><\/td>\n

January 2027<\/td>\n\n
    \n
  • All Lines of Business<\/li>\n
  • Policy Update<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Modifier <\/strong><\/p>\n

(PP040POL) \u2013 UPDATED<\/strong><\/td>\n

November 2026<\/td>\n\n
    \n
  • All Lines of Business<\/li>\n
  • Policy Update<\/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":1,"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":""},"categories":[92],"tags":[],"class_list":["post-9030","post","type-post","status-publish","format-standard","hentry","category-provider-newsletter"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p6ZZHB-2lE","_links":{"self":[{"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/9030","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\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/comments?post=9030"}],"version-history":[{"count":5,"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/9030\/revisions"}],"predecessor-version":[{"id":9050,"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/9030\/revisions\/9050"}],"wp:attachment":[{"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media?parent=9030"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/categories?post=9030"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/tags?post=9030"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}