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On October 10, we will be upgrading our phone system. This enhancement will improve your future experience. It may result in additional wait times during our transition. We appreciate your understanding and patience as we work to serve you better.

On October 10, our call center will be closed for staff training between 12 PM and 1 PM ET.
On October 9, due to the enhancement to our phone system, our IVR will be unavailable for self-service from 6.30 PM through 11:59 PM ET.

Procedure Code Lookup

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.




Watch this short video to learn more.