Payment Policy:

Effective Date: 1/1/2023 

See Important Reminder at the end of this policy for important regulatory and legal information.

Policy Overview

Important Reminder

The purpose of this payment policy is to provide a guide to payment, which is a component of the guidelines used to assist in making coverage and payment determinations and administering benefits. It does not constitute a contract or guarantee regarding payment or results. Coverage and payment determinations and the administration of benefits are subject to all terms, conditions, exclusions and limitations of the coverage documents (e.g., evidence of coverage, certificate of coverage, policy, contract of insurance, etc.), as well as to state and federal requirements and applicable plan-level administrative policies and procedures.

This payment policy is effective as of the date determined by BO & Zenilov. The date of posting may not be the effective date of this payment policy. This payment policy may be subject to applicable legal and regulatory requirements relating to provider notification. If there is a discrepancy

PAYMENT POLICY

between the effective date of this payment policy and any applicable legal or regulatory requirement, the requirements of law and regulation shall govern. BO & Zenilov retains the right to change, amend or withdraw this payment policy, and additional payment policies may be developed and adopted as needed, at any time.

This payment policy is the property of BO & Zenilov. Unauthorized copying, use, and distribution of this payment policy or any information contained herein are strictly prohibited.