Provider payment guidelines
Select a PDF below to see our payment policies for a specific treatment or service.
Policy payment guideline listing
Acupuncture Services
Allergy Testing and Allergy Immunotherapy
Ambulance
Ambulatory Surgical Centers
Anesthesia
Bariatric Surgery
Chiropractic Services
Clinical Trials
Community Health Centers
Covid-19 Payment Policy – RETIRED 05/11/2023
Crisis Intervention – ED Boarding
Dermatology
Dialysis
Durable Medical Equipment
Early Intensive Behavioral Intervention Services
Enteral Formulae Parenteral Nutritional Solutions
Evaluation and Management Services
Fee Schedule Update Policy
General Coding and Billing
Health Related Social Needs (HRSN)
Hearing Aids
Home Health Care Agency
Home Infusion Therapy
Hospital at Home
Hospice
Imaging Services
Inpatient Hospital Admissions
Inpatient Rehabilitation and Long-term Acute Care (LTAC)
Laboratory and Pathology
Late Charge Billing
Maximum Units
Medical Nutritional Counseling and Diabetes
Mid-Level Practitioners
Modifiers
Nail Debridement
Newborn Care (Inpatient)
Observation
Obstetrical Services
Oral Maxillofacial Surgery
Out of Network Provider Services
Outpatient Clinic Services - Facility
Outpatient Physical, Occupational & Speech Therapy
Physician Administered Medication
Preventive Services
Provider Audit Policy
Provider Payment Disputes
Retail Clinic
Robotic Assisted Surgery
Routine Foot Care
Serious Reportable Events & Provider Preventable Conditions
Skilled Nursing Facilities
Sleep Studies and Therapy Management
Spine Surgery
Standard Blood Products and Services
Telemedicine
Transplant
Urine Drug Testing
Vaccines and Immunizations
Vision Services
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Mass General Brigham Health Plan includes Mass General Brigham Health Plan, Inc.
and Mass General Brigham Health Insurance Company