Our offices will be closed on Monday, May 30, 2022 in observance Memorial Day. Warm wishes to you and your family as we honor and remember the brave men and women who sacrifice in service of our nation.
Please self-service by signing into your account or using our Interactive Voice Response System (IVR) 24/7 at 800-452-9310.
The updated Procedure Code Lookup (PCL) tool is even better equipped to help your office look up:
Procedure codes,
Benefit coverage, and
Individual patient history
With its easy-to-use self-service options, the PCL tool can help you answer questions more efficiently and effectively with these features at your fingertips:
Convenient access: The tool is located on our Patient Benefits Details page and can be accessed after you enter patient-specific information.
Comprehensive information: Upon entering a procedure code, the tool is designed to display the following categories of information:
Class of Service
Covered | Not Covered | Elective | Age limitations (code and/or contractual)
Frequency limitations and usage
Treatment History and Related Treatment History returned for the dates within the procedure frequency time limitations.
Some instances may still require a call, including inquiries about DeltaCare and Flagship.