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Provider : Claimsupdates

Reimbursement Policies
From time to time, Harmony Health Plan (the Plan), reviews its reimbursement policies to maintain close alignment with industry standards and coding updates released by health care industry sources like the Centers for Medicare and Medicaid Services (CMS) and nationally recognized health and medical societies.

Click the link below to access our current reimbursement policies.

Current Harmony Reimbursement Policies
Reason Codes
Harmony has re-mapped its reason codes to better align with recent updates. Click the link below to see the updated codes.
HIPAA Adjustment Reason Code Changes

NPI Compliance
Compliance with the National Provider Identifier (NPI) mandate is critical. Since May 23, 2008, claims submitted to Harmony must comply with the requirement to use only the NPI on standard transactions.
View Harmony's NPI Policy and for instructions for submitting your NPI to Harmony. (This will redirect to our corporate website.)

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