The policies below summarize Well Sense Health Plan's claims payment guidelines for specific services. The reimbursement policies are used as a guide by the Plan to make determinations regarding health care reimbursement. The Plan's policies undergo regular updates; check back often for the most up-to-date information.
Providers are reminded that member eligibility is determined before clinical coverage policies and reimbursement guidelines are applied to any claim. As a result, the Plan can not guarantee payment when a member is ineligible or a non-covered benefit is rendered.
To ensure you are viewing the most recent version of the policy, you may want to clear your browser's cache.