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Reimbursement Policy Manual

To learn about our reimbursement policies, please reference the linked policies on the topics listed below

Reimbursement Policies are each assigned a number (RPMxxx) for reference. Policies are available for the following topics or services:

Moda Health Reimbursement Policy Overview last updated March 2025 (RPM001)

Administrative

Anesthesia

Behavioral Health

Documentation

Evaluation & Management

Facility-Specific

Laboratory & Pathology

Medicine

Modifiers

Preventive Services

Surgery

Telemedicine

Questions?

See a full list of contact details including provider relations and customer service.

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