Oxford Health Plans > Practical Resources > Policy Update Bulletin

  Policy Update Bulletin
    Medical & Administrative Policy Updates

    A monthly notice of recently approved and/or revised Medical & Administrative Policies is provided below for your review. A new announcement will be published on the first calendar day of every month. By accessing the Policy Update Bulletin, you may view new and/or revised clinical, administrative and reimbursement policies, in their entirety, along with an overview or summary of changes.

    The appearance of an item or procedure in the Policy Update Bulletin indicates only that we have recently adopted or revised a clinical, administrative, or reimbursement policy; it does not imply that we provide coverage for the items or procedures listed. Note that most Oxford benefit plan documents exclude from benefit coverage health services identified as investigational or unproven. In the event of an inconsistency or conflict between the information provided in this bulletin and the posted policy, the provisions of the posted policy will prevail.

      Bulletin
    04/01/19: Policy Update Bulletin - April 2019
    03/01/19: Policy Update Bulletin - March 2019
    02/01/19: Policy Update Bulletin - February 2019


    Policy Update Bulletin Archive

      Access Policies
    Click here to view a complete library of our Medical & Administrative Policies.

    Information regarding a policy or procedure that is not available on oxfordhealth.com may be requested by writing to:

    Oxford Policy Requests
    4 Research Drive
    Shelton, CT 06484

      Managed Care Act Disclosure Materials
    Click here for general information regarding our operations.

      Reimbursement Policies and Payment Rules
    Notice pursuant to Section 3224-b(4) of the New York State Insurance Law is hereby given that our claims system utilizes a software package assembled by IntelliClaim (owned by McKesson Health Solutions). This software package contains the Correct Coding Initiative Software by The National Technical Information Service (NTIS) and effective October 6, 2006, ClaimsXten™ software by McKesson. Please read our Rebundling Rules for a description of the significant edits we have made to the software.


    The services described in our policies are subject to the terms, conditions and limitations of the member's contract or certificate. Unless otherwise stated, our policies do not apply to Medicare Advantage enrollees. We reserves the right, in its sole discretion, to modify policies as necessary without prior written notice unless otherwise required by our administrative procedures or applicable state law. The terms "we" and "our" include Oxford Health Plans, LLC and all of its subsidiaries as appropriate for these policies.

    Certain policies may not be applicable to self-funded members and certain insured products. Refer to the member's plan of benefits or Certificate of Coverage to determine whether coverage is provided or if there are any exclusions or benefit limitations applicable to any of these policies. If there is a difference between any policy and the member's plan of benefits or Certificate of Coverage, the plan of benefits or Certificate of Coverage will govern.