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Autism Spectrum Disorder Services Provider Manual05/04/17SECTION 3BILLING PROCEDURESTABLE OF CONTENTS GENERAL INFORMATION1USUAL AND CUSTOMARY RATES..............................................................................................
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Copayment exclusions are specific services or expenses that are not covered by insurance and must be paid out-of-pocket by the insured individual.
All policyholders with insurance coverage that includes copayments are required to file copayment exclusions.
Copayment exclusions can typically be filled out online through the insurance provider's portal or by submitting a form provided by the insurance company.
The purpose of copayment exclusions is to accurately reflect the out-of-pocket expenses incurred by the insured individual that are not covered by insurance.
The information that must be reported on copayment exclusions includes the date of service, the type of service, the total cost, and the amount of copayment.
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