Payment Policies

All Gateway Products Payment Policies:
Hot and Cold Packs- Payment Policy
Sepsis-3

Medicare Payment Policies:
Diabetic Retinal Eye Exam
Maximum Units of Service - Claims Payment Policy - Outpatient
Maximum Units of Service - Claims Payment Policy - Professional
Opioid Treatment Providers (OTP)

PA Medicaid Payment Policies:
Heparin Flush Policy
ICD-10-CM Excludes Notes Policy
Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Maximum Units of Service - Claims Payment Policy - Outpatient
Maximum Units of Service - Claims Payment Policy - Professional
NDC Codes
Preventative Visits and Sick Visits on the Same Day
Telemedicine Services
Use of CMS NCDs and LCDs

Forms require the Adobe Acrobat Reader installed on your system. Most computers have this program installed. If it is not installed on your computer, you can download it for free from Adobe.

Copyright 2021 Gateway Health Plan