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Optimum Healthcare policies, page 4

Search Optimum Healthcare's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

1,402 public policies Substrate tracks for Optimum Healthcare, by title.

Optimum Healthcare policies
PolicyDetailsCodesSource
Anthem Blue Cross and Blue Shield Provider and Facility ManualEffective Jul 1, 2017 · Commercial · NV104Original policy ↗
ANTHEM BLUE CROSS AND BLUE SHIELD PROVIDER INQUIRY/REFUND/ADJUSTMENT FORMCommercial · CO, CT, GA, ME, NH, NV, VA2Original policy ↗
Anthem Blue Cross and Blue Shield Provider ManualCTBCBS-CM-PM-082433-25 · Effective Jan 1, 2026 · Commercial · CT24Original policy ↗
Anthem Blue Cross and Blue Shield Provider Manual - 07/01/17 - 06/30/18Effective Jul 1, 2017 · Commercial · CT1Original policy ↗
Anthem Blue Cross and Blue Shield Provider Manual - 07/01/19 - 09/30/19Effective Jul 1, 2019 · Commercial · ME24Original policy ↗
Anthem Blue Cross and Blue Shield Provider Manual - MAINEEffective Jul 1, 2018 · Commercial · ME1Original policy ↗
Anthem Blue Cross and Blue Shield Provider Manual - MAINEEffective Aug 1, 2017 · Commercial · ME—Original policy ↗
Anthem Blue Cross and Blue Shield Provider Manual - MAINEEffective Jan 1, 2021 · Commercial · ME24Original policy ↗
Anthem Blue Cross and Blue Shield Provider Manual - MAINEEffective Jul 1, 2020 · Commercial · ME24Original policy ↗
Anthem Blue Cross and Blue Shield Provider Manual - MaineEffective Oct 1, 2019 · Commercial · ME24Original policy ↗
Anthem Blue Cross and Blue Shield Provider Manual - MAINEEffective Oct 1, 2018 · Commercial · ME1Original policy ↗
Anthem Blue Cross and Blue Shield Provider Manual - OhioEffective Jan 1, 2021 · Commercial · OH24Original policy ↗
Anthem Blue Cross and Blue Shield Provider Manual – 09/01/25 – 12/31/25CTBCBS-CM-PM-082433-25 · Effective Sep 1, 2025 · Commercial · CT24Original policy ↗
Anthem Blue Cross and Blue Shield Provider Manual – 10/01/25 – 12/31/25MEBCBS-CM-PM-082442-25 · Effective Oct 1, 2025 · Commercial · ME24Original policy ↗
Anthem Blue Cross and Blue Shield Virginia Facility Provider ManualEffective Jun 1, 2022 · Commercial · VA90Original policy ↗
Anthem Blue Cross and Blue Shield Virginia Facility Provider ManualVABCBS-CM-PM-061543-24 · Effective Oct 1, 2024 · Commercial · VA90Original policy ↗
Anthem Blue Cross and Blue Shield Virginia Facility Provider ManualEffective Jul 1, 2023 · Commercial · VA90Original policy ↗
Anthem Blue Cross and Blue Shield Virginia Facility Provider ManualEffective Dec 1, 2023 · Commercial · VA90Original policy ↗
Anthem Blue Cross and Blue Shield Virginia Facility Provider ManualVABCBS-CM-PM-061543-24 v1.07012024 · Effective Jul 1, 2024 · Commercial · VA90Original policy ↗
Anthem Blue Cross and Blue Shield Virginia Facility Provider ManualEffective Jul 1, 2021 · Commercial · VA93Original policy ↗
Anthem Blue Cross and Blue Shield Virginia Professional Provider ManualEffective Oct 1, 2021 · Commercial · VA140Original policy ↗
Anthem Blue Cross and Blue Shield Virginia Professional Provider ManualEffective Mar 1, 2023 · Commercial · VA141Original policy ↗
Anthem Blue Cross and Blue Shield Wisconsin Provider ManualCommercial · WI24Original policy ↗
Anthem Blue Cross and Blue Shield Wisconsin Provider ManualEffective Sep 1, 2023 · Commercial · WI24Original policy ↗
Anthem Blue Cross and Blue Shield Wisconsin Provider ManualEffective Jul 1, 2022 · Commercial · WI24Original policy ↗
Anthem Blue Cross and Blue Shield Wisconsin Provider ManualWIBCBS-CM-PM-056379-24 v1.060124 · Effective Sep 1, 2024 · Commercial · WI24Original policy ↗
Anthem Blue Cross and Blue Shield Wisconsin Provider ManualEffective Jul 1, 2023 · Commercial · WI24Original policy ↗
Anthem Blue Cross and Blue Shield Wisconsin Provider ManualWIBCBS-CM-PM-056379-24 v2.080124 · Effective Nov 1, 2024 · Commercial · WI24Original policy ↗
Anthem Blue Cross California Facility and Professional Provider ManualEffective Dec 15, 2021 · Commercial, Medicaid · CA54Original policy ↗
Anthem Blue Cross Department Contacts ListingCommercial, Medicaid · CA—Original policy ↗
Anthem Blue Cross Facility and Professional Provider Manual – 01/01/20Effective Jan 1, 2020 · Commercial · CA66Original policy ↗
Anthem Blue Cross Facility Provider ManualEffective Mar 1, 2017 · Commercial, Medicaid · CA121Original policy ↗
Anthem Blue Cross HMO Provider ManualCABC-CM-PM-086312-25 · Effective Jan 1, 2026 · Commercial · CA—Original policy ↗
ANTHEM BLUE CROSS HMO PROVIDER MANUALEffective Oct 15, 2020 · Commercial · CA—Original policy ↗
Anthem Blue Cross HMO Provider Manual - 03/15/20 - 10/14/20Effective Mar 15, 2020 · Commercial · CA49Original policy ↗
Anthem Blue Cross HMO Provider Manual - 07/01/22 - 06/30/23Effective Jul 1, 2022 · Commercial · CA—Original policy ↗
Anthem Blue Cross Professional Provider ManualEffective Jul 6, 2015 · Commercial · CA105Original policy ↗
Anthem Blue Cross Provider Reference ManualCommercial · CA112Original policy ↗
Anthem Centers of Medical Excellence (CME) Transplant Network Contract Operations Manual for Transplant ProgramEffective Jan 1, 2020 · Commercial, Medicaid · CA10Original policy ↗
Anthem ePass Quick Start GuideCommercial · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, NY, OH, VA, WI—Original policy ↗
ANTHEM ePASS® WEEKLY WEBINAREffective Oct 2, 2019 · Commercial · MO—Original policy ↗
Anthem Medical Specialty Pharmacy (MSP) CVS Drug List 10/01/2021Commercial · CA102Original policy ↗
Anthem Networks Overview – ColoradoCommercial · CO—Original policy ↗
ANTIBIOTIC RESISTANCECommercial · CA—Original policy ↗
Antibiotic ResistanceCommercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI—Original policy ↗
Antidepressant Medication ManagementCommercial · CA—Original policy ↗
Antidepressant Medication ManagementCommercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI—Original policy ↗
Applied Behavior Analysis (ABA) Provider Resource GuideMULTI-BCBS-CM-072378-24-CPN72366 · Commercial · CT, GA, IN, KY, ME, MO, NH, OH, VA10Original policy ↗
Applied Behavior Analysis (ABA) Provider Resource GuideMULTI-BCBS-CM-072378-24-CPN72366 · Commercial · NY10Original policy ↗
ASC Grouper ListingCommercial · CO3,389Original policy ↗

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Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.

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