COVID-19 Coding and Billing Interim Guidance : PPE
United Healthcare
• Enhanced Provider Payment ( EPP ) financial relief program requires enrollment by eligible providers at www . UHCDental . com .
• Eligible providers include those who are Par Providers , Commercial ( PPO ), Medicare Advantage ( FFS ), and Medicaid ( FFS ) participating providers . DHMO and Direct Compensation Providers are not eligible for this program .
• Providers currently enrolled in UHC ’ s Electric Payment System ( EPS ) will receive the relief payments starting the 1st of the month after enrolled in EPP . If not currently enrolled in EPS , visit www . UHCDental . com to enroll .
• EPP payments will be earned for claims that include payments for codes D0120 ($ 5 ), D0140 ($ 10 ), D0145 ($ 5 ), or D0150 ($ 10 ).
• Providers are not required to submit a separate claim or line item on a claim to receive the additional EPP financial relief payment as payment is automated once the provider enrolls and will be limited to 4 payments per patient per provider per month .
• This program is available to providers submitting claims with dates of service between June 24 , 2020 and December 31 , 2020 . Claims with dates of service beginning the first of the month after your enrollment date will be eligible for additional payments . Example – if you enroll in the program on June 24 , all claims with a date of service beginning July 1 and beyond will be eligible for payment .
• Patients cannot be charged an additional service fee when receiving an EPP payment from United Healthcare Dental for the same visit .
• Unless specifically permitted by state regulatory agencies through publicly available documentation , providers are not permitted to pass through additional charges related to protective equipment , sanitation procedures , or other equipment or administrative needs to Medicaid members . Similarly , providers are not permitted to pass through additional charges related to such equipment , procedures , and needs to Medicare Advantage members .
Dominion National
• Dominion will provide payments to its participating dentists of $ 5 per in-network PPO , ePPO or Preventive covered plan visit to help with the costs of PPE , which includes N95 masks , gowns and other protective equipment designed to help with infectious disease control due to COVID-19 .
• PPE payments will begin for services starting June 15 , 2020 and may extend through the end of the year .
• Subject to change based on state mandates and experience .
The
Dental Care Plus Group
• DCPG will reimburse your office $ 10 per patient visit during May and June of 2020 .
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