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Oxford
Health Plans > Practical Resources > Policy Update Bulletin
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Policy Update Bulletin |
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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.
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| 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
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| Managed Care Act Disclosure Materials |
Click here
for general information regarding our operations.
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| 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.
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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.
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