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Covered and Excluded Services List
for Fallon Health Members with
IMS Health Standard or Commonwealth Coverage
This is a list of all covered services and benefits for IMS Health Standard and Commonwealth
members
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What is covered and excluded services?
Covered services are those that are included in an insurance plan or policy, while excluded services are those that are not covered.
Who is required to file covered and excluded services?
Healthcare providers are required to file covered and excluded services.
How to fill out covered and excluded services?
Covered and excluded services can be filled out using a standardized form provided by the insurance company or healthcare payer.
What is the purpose of covered and excluded services?
The purpose of covered and excluded services is to outline what services are included and not included in a healthcare plan or insurance policy.
What information must be reported on covered and excluded services?
Information such as the type of service, date of service, provider information, and billing codes must be reported on covered and excluded services.
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