{"id":15317,"date":"2025-09-29T11:04:57","date_gmt":"2025-09-29T11:04:57","guid":{"rendered":"https:\/\/distilinfo.com\/healthplan\/?p=15317"},"modified":"2025-09-29T11:04:57","modified_gmt":"2025-09-29T11:04:57","slug":"insurance-billing-policy-changes-spark","status":"publish","type":"post","link":"https:\/\/distilinfo.com\/healthplan\/insurance-billing-policy-changes-spark\/","title":{"rendered":"Insurance Billing Policy Changes Spark Physician Concerns"},"content":{"rendered":"<div>\n<div class=\"grid-cols-1 grid gap-2.5 [&amp;_&gt;_*]:min-w-0 !gap-3.5\">\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_75 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/distilinfo.com\/healthplan\/insurance-billing-policy-changes-spark\/#What_Is_the_New_Insurance_Billing_Policy\" >What Is the New Insurance Billing Policy?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/distilinfo.com\/healthplan\/insurance-billing-policy-changes-spark\/#Understanding_Billing_Levels\" >Understanding Billing Levels<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/distilinfo.com\/healthplan\/insurance-billing-policy-changes-spark\/#How_Cignas_Billing_Policy_Works\" >How Cigna&#8217;s Billing Policy Works<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/distilinfo.com\/healthplan\/insurance-billing-policy-changes-spark\/#The_Downcode-First_Approach\" >The Downcode-First Approach<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/distilinfo.com\/healthplan\/insurance-billing-policy-changes-spark\/#Aetnas_Similar_Approach\" >Aetna&#8217;s Similar Approach<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/distilinfo.com\/healthplan\/insurance-billing-policy-changes-spark\/#Alignment_with_National_Standards\" >Alignment with National Standards<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/distilinfo.com\/healthplan\/insurance-billing-policy-changes-spark\/#Why_Physicians_Are_Concerned\" >Why Physicians Are Concerned<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/distilinfo.com\/healthplan\/insurance-billing-policy-changes-spark\/#Administrative_Burden\" >Administrative Burden<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/distilinfo.com\/healthplan\/insurance-billing-policy-changes-spark\/#Congressional_Intervention\" >Congressional Intervention<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/distilinfo.com\/healthplan\/insurance-billing-policy-changes-spark\/#Scope_and_Clarification_of_the_Policy\" >Scope and Clarification of the Policy<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/distilinfo.com\/healthplan\/insurance-billing-policy-changes-spark\/#Limited_Target_Group\" >Limited Target Group<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/distilinfo.com\/healthplan\/insurance-billing-policy-changes-spark\/#Communication_Gaps\" >Communication Gaps<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/distilinfo.com\/healthplan\/insurance-billing-policy-changes-spark\/#Expert_Opinions_on_the_Policy\" >Expert Opinions on the Policy<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/distilinfo.com\/healthplan\/insurance-billing-policy-changes-spark\/#The_Wrong_Information_Problem\" >The Wrong Information Problem<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/distilinfo.com\/healthplan\/insurance-billing-policy-changes-spark\/#Specialty-Specific_Comparisons\" >Specialty-Specific Comparisons<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/distilinfo.com\/healthplan\/insurance-billing-policy-changes-spark\/#Impact_on_Healthcare_Providers\" >Impact on Healthcare Providers<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/distilinfo.com\/healthplan\/insurance-billing-policy-changes-spark\/#Financial_Implications\" >Financial Implications<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/distilinfo.com\/healthplan\/insurance-billing-policy-changes-spark\/#Patient_Care_Delays\" >Patient Care Delays<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/distilinfo.com\/healthplan\/insurance-billing-policy-changes-spark\/#What_This_Means_for_Patients\" >What This Means for Patients<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/distilinfo.com\/healthplan\/insurance-billing-policy-changes-spark\/#Institutional_Response\" >Institutional Response<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/distilinfo.com\/healthplan\/insurance-billing-policy-changes-spark\/#Access_to_Care_Concerns\" >Access to Care Concerns<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2 class=\"text-xl font-bold text-text-100 mt-1 -mb-0.5\"><span class=\"ez-toc-section\" id=\"What_Is_the_New_Insurance_Billing_Policy\"><\/span><strong>What Is the New Insurance Billing Policy?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p class=\"whitespace-normal break-words\">The <strong>insurance billing policy<\/strong> represents a significant shift in how insurers review and reimburse medical claims. Beginning October 1, 2025, Cigna announced it would implement a new reimbursement review process for office visits billed at the highest complexity levels\u2014specifically Level 4 and Level 5 visits.<\/p>\n<h3 class=\"text-lg font-bold text-text-100 mt-1 -mb-1.5\"><span class=\"ez-toc-section\" id=\"Understanding_Billing_Levels\"><\/span><strong>Understanding Billing Levels<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p class=\"whitespace-normal break-words\">Medical billing codes categorize patient visits based on complexity and time required. Level 4 and Level 5 visits represent the most complex cases, commanding higher reimbursement rates. These codes are typically used for patients with multiple health conditions, complicated diagnoses, or situations requiring extensive medical decision-making.<\/p>\n<h2 class=\"text-xl font-bold text-text-100 mt-1 -mb-0.5\"><span class=\"ez-toc-section\" id=\"How_Cignas_Billing_Policy_Works\"><\/span><strong>How Cigna&#8217;s Billing Policy Works<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p class=\"whitespace-normal break-words\">Cigna&#8217;s approach to the <strong>insurance billing policy<\/strong> involves a review-first, appeal-later process that has generated significant controversy among healthcare providers.<\/p>\n<h3 class=\"text-lg font-bold text-text-100 mt-1 -mb-1.5\"><span class=\"ez-toc-section\" id=\"The_Downcode-First_Approach\"><\/span><strong>The Downcode-First Approach<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p class=\"whitespace-normal break-words\">Under this policy, Cigna will automatically review claims for Level 4 and Level 5 office visits. If the insurer determines the visit doesn&#8217;t meet the appropriate complexity threshold, it will reduce the reimbursement rate without first consulting the physician. Providers who disagree with this reduction must then submit medical records to substantiate the higher billing code, after which Cigna will adjust reimbursement accordingly.<\/p>\n<p class=\"whitespace-normal break-words\">Justine Sessions, a spokesperson for Cigna, stated: &#8220;This change is designed to reduce overbilling, promote accurate documentation, and align with the American Medical Association coding guidelines. Importantly, this policy change does not lead to more denials or delay care for customers in any way.&#8221;<\/p>\n<h2 class=\"text-xl font-bold text-text-100 mt-1 -mb-0.5\"><span class=\"ez-toc-section\" id=\"Aetnas_Similar_Approach\"><\/span><strong>Aetna&#8217;s Similar Approach<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p class=\"whitespace-normal break-words\">Cigna isn&#8217;t alone in implementing this type of <strong>insurance billing policy<\/strong>. Aetna enacted a similar policy in Connecticut in March 2025, according to company spokesperson Phillip Blando.<\/p>\n<h3 class=\"text-lg font-bold text-text-100 mt-1 -mb-1.5\"><span class=\"ez-toc-section\" id=\"Alignment_with_National_Standards\"><\/span><strong>Alignment with National Standards<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p class=\"whitespace-normal break-words\">Blando emphasized that Aetna&#8217;s billing criteria &#8220;are based on CMS and <a href=\"https:\/\/www.ama-assn.org\/\" target=\"_blank\" rel=\"noopener\">American Medical Association<\/a> guidelines,&#8221; adding that &#8220;evaluating the appropriateness of levels 4 and 5 codes helps us ensure providers are billing for their services consistent with national guidelines.&#8221;<\/p>\n<h2 class=\"text-xl font-bold text-text-100 mt-1 -mb-0.5\"><span class=\"ez-toc-section\" id=\"Why_Physicians_Are_Concerned\"><\/span><strong>Why Physicians Are Concerned<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p class=\"whitespace-normal break-words\">Healthcare providers have expressed significant concerns about the <strong>insurance billing policy<\/strong>, with many fearing it will create substantial administrative challenges.<\/p>\n<h3 class=\"text-lg font-bold text-text-100 mt-1 -mb-1.5\"><span class=\"ez-toc-section\" id=\"Administrative_Burden\"><\/span><strong>Administrative Burden<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p class=\"whitespace-normal break-words\">Peter Hahn, a cardiologist practicing in Uncasville, Connecticut, articulated the frustration many physicians feel: &#8220;My understanding, and the understanding of everyone who&#8217;s been rallying the cry about this is, the new policy just says they&#8217;re going to downcode everybody and it&#8217;s up to us to go back and fight and prove we&#8217;re not doing it inappropriately. Only then, after we file the appeal, can we get paid for the services rendered.&#8221;<\/p>\n<p class=\"whitespace-normal break-words\">Hahn estimates he already dedicates approximately &#8220;a full day a week&#8221; to &#8220;fighting with insurance companies,&#8221; and worries this policy will only exacerbate that burden.<\/p>\n<h3 class=\"text-lg font-bold text-text-100 mt-1 -mb-1.5\"><span class=\"ez-toc-section\" id=\"Congressional_Intervention\"><\/span><strong>Congressional Intervention<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p class=\"whitespace-normal break-words\">The concern from providers escalated to the federal level when U.S. Senator Richard Blumenthal wrote directly to Cigna, calling for the policy&#8217;s reversal. In his September 11 letter, Blumenthal stated: &#8220;If allowed, this new policy will significantly increase administrative burdens and costs for physicians while jeopardizing patient care. I urge you to reverse this decision and instead work closely with physicians to address any billing concerns.&#8221;<\/p>\n<h2 class=\"text-xl font-bold text-text-100 mt-1 -mb-0.5\"><span class=\"ez-toc-section\" id=\"Scope_and_Clarification_of_the_Policy\"><\/span><strong>Scope and Clarification of the Policy<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p class=\"whitespace-normal break-words\">Following widespread concern and confusion, Cigna issued an important clarification on September 9 that narrowed the scope of its <strong>insurance billing policy<\/strong>.<\/p>\n<h3 class=\"text-lg font-bold text-text-100 mt-1 -mb-1.5\"><span class=\"ez-toc-section\" id=\"Limited_Target_Group\"><\/span><strong>Limited Target Group<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p class=\"whitespace-normal break-words\">Cigna clarified that the policy will only impact approximately 1% of doctors in its network\u2014specifically those whose &#8220;records indicate as having a consistent pattern of coding at a higher [level] for routine visits compared to their peers.&#8221; This includes providers who, for example, bill diagnoses such as &#8220;earache&#8221; or &#8220;sore throat&#8221; as Level 4 or 5 visits.<\/p>\n<h3 class=\"text-lg font-bold text-text-100 mt-1 -mb-1.5\"><span class=\"ez-toc-section\" id=\"Communication_Gaps\"><\/span><strong>Communication Gaps<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p class=\"whitespace-normal break-words\">The initial announcement lacked crucial details about the policy&#8217;s scope, including how many providers would be impacted and what percentage of visits would be downcoded. This information gap created panic and confusion, particularly among small, independent providers.<\/p>\n<p class=\"whitespace-normal break-words\">Cigna has since sent notifications to all providers who will be affected by the new policy, according to Sessions, though the company declined to specify how many Connecticut doctors would be impacted.<\/p>\n<h2 class=\"text-xl font-bold text-text-100 mt-1 -mb-0.5\"><span class=\"ez-toc-section\" id=\"Expert_Opinions_on_the_Policy\"><\/span><strong>Expert Opinions on the Policy<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p class=\"whitespace-normal break-words\">Medical professionals have offered varied perspectives on the <strong>insurance billing policy<\/strong>, with many emphasizing concerns about methodology and fairness.<\/p>\n<h3 class=\"text-lg font-bold text-text-100 mt-1 -mb-1.5\"><span class=\"ez-toc-section\" id=\"The_Wrong_Information_Problem\"><\/span><strong>The Wrong Information Problem<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p class=\"whitespace-normal break-words\">David Eagle, a New York-based oncologist, acknowledged that insurers have the right to audit physician billing practices but argued there&#8217;s a fundamental flaw in Cigna&#8217;s approach. &#8220;Cigna is making reimbursement decisions based on claims filed, which don&#8217;t contain all the information necessary to appropriately assess the complexity of a visit,&#8221; Eagle explained. &#8220;You&#8217;re just using the wrong information set. And then it&#8217;s the problem of the physician to fight back, claim by claim, visit by visit, to get paid appropriately.&#8221;<\/p>\n<h3 class=\"text-lg font-bold text-text-100 mt-1 -mb-1.5\"><span class=\"ez-toc-section\" id=\"Specialty-Specific_Comparisons\"><\/span><strong>Specialty-Specific Comparisons<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p class=\"whitespace-normal break-words\">Mark Camel, a retired neurosurgeon and co-founder of Greenwich-based Orthopaedic and Neurosurgery Specialists, stressed the importance of comparing providers within their specialties. An oncologist treating complex cancer patients shouldn&#8217;t be compared to an orthopedic surgeon seeing patients with knee pain, as their patient complexity levels differ significantly.<\/p>\n<p class=\"whitespace-normal break-words\">Camel stated the policy is &#8220;okay as long as each physician is compared within their specialty because of the variation of types of visits.&#8221;<\/p>\n<h2 class=\"text-xl font-bold text-text-100 mt-1 -mb-0.5\"><span class=\"ez-toc-section\" id=\"Impact_on_Healthcare_Providers\"><\/span><strong>Impact on Healthcare Providers<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p class=\"whitespace-normal break-words\">The <strong>insurance billing policy<\/strong> creates multiple challenges for healthcare providers, particularly smaller practices with limited administrative resources.<\/p>\n<h3 class=\"text-lg font-bold text-text-100 mt-1 -mb-1.5\"><span class=\"ez-toc-section\" id=\"Financial_Implications\"><\/span><strong>Financial Implications<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p class=\"whitespace-normal break-words\">When claims are automatically downcoded, providers experience immediate revenue reduction. The appeals process requires additional staff time and resources, creating a financial double-bind for medical practices already operating on thin margins.<\/p>\n<h3 class=\"text-lg font-bold text-text-100 mt-1 -mb-1.5\"><span class=\"ez-toc-section\" id=\"Patient_Care_Delays\"><\/span><strong>Patient Care Delays<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p class=\"whitespace-normal break-words\">Eagle highlighted how insurance policies requiring extensive documentation and appeals can delay patient care. &#8220;Everybody has to scramble on the medical side after the fact to explain and justify treatment for cancer patients, so it causes delays in treatments. And so much extra work,&#8221; he explained.<\/p>\n<h2 class=\"text-xl font-bold text-text-100 mt-1 -mb-0.5\"><span class=\"ez-toc-section\" id=\"What_This_Means_for_Patients\"><\/span><strong>What This Means for Patients<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p class=\"whitespace-normal break-words\">While the <strong>insurance billing policy<\/strong> primarily affects physicians and healthcare systems, patients may experience indirect consequences.<\/p>\n<h3 class=\"text-lg font-bold text-text-100 mt-1 -mb-1.5\"><span class=\"ez-toc-section\" id=\"Institutional_Response\"><\/span><strong>Institutional Response<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p class=\"whitespace-normal break-words\">The Connecticut Hospital Association called for policy reversal, with spokesperson Nicole Rall stating: &#8220;We have concerns that these new policies will create uncertainty for providers and patients and add significant administrative burden and cost. They should be rescinded. Clear, transparent policies are essential to supporting fair reimbursement and ensuring patients&#8217; continued access to care.&#8221;<\/p>\n<h3 class=\"text-lg font-bold text-text-100 mt-1 -mb-1.5\"><span class=\"ez-toc-section\" id=\"Access_to_Care_Concerns\"><\/span><strong>Access to Care Concerns<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p class=\"whitespace-normal break-words\">When physicians spend more time fighting billing disputes, they have less time for patient care. Additionally, some providers may become more reluctant to accept certain insurance plans if administrative burdens become too excessive, potentially limiting patient access to care.<\/p>\n<p class=\"whitespace-normal break-words\"><strong>Conclusion:<\/strong> The new <strong>insurance billing policy<\/strong> implemented by Cigna and Aetna represents a significant change in how insurers approach medical billing oversight. While companies claim these policies prevent overbilling and align with national guidelines, physicians argue they create unnecessary administrative burden, use incomplete information for decision-making, and may ultimately harm patient care. As this policy continues to roll out, the healthcare community will be watching closely to see whether the limited scope clarified by Cigna addresses provider concerns or whether additional modifications will be necessary.<\/p>\n<p>Discover the latest\u00a0<a href=\"https:\/\/distilinfo.com\/healthplan\/\"><strong>payers\u2019 news updates<\/strong><\/a>\u00a0with a single click. Follow\u00a0<a href=\"https:\/\/distilinfo.com\/healthplan\/\">DistilINFO HealthPlan<\/a>\u00a0and stay ahead with updates. Join our community today!<\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div>\n<div class=\"h-8\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>What Is the New Insurance Billing Policy? The insurance billing policy represents a significant shift in how insurers review and&#8230; <a href=\"https:\/\/distilinfo.com\/healthplan\/insurance-billing-policy-changes-spark\/\" style=\"white-space: nowrap;\">Continue Reading <i class=\"fas fa-long-arrow-alt-right\" style=\"vertical-align: middle;\"><\/i><\/a><\/p>\n","protected":false},"author":1,"featured_media":15318,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[1],"tags":[3909,1997,3911,3908,3913,1628,587,3915,3916,3906,3910,3907,3481,3912,3914,3917,3520,228],"class_list":{"0":"post-15317","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-distilinfo-originals","8":"tag-aetna-healthcare","9":"tag-billing-compliance","10":"tag-billing-downcode","11":"tag-cigna-billing-policy","12":"tag-connecticut-physicians","13":"tag-healthcare-administrative-burden","14":"tag-healthcare-insurance","15":"tag-healthcare-provider-concerns","16":"tag-insurance-audit-policy","17":"tag-insurance-billing-policy","18":"tag-level-4-level-5-visits","19":"tag-medical-billing-codes","20":"tag-medical-billing-disputes","21":"tag-medical-claim-appeals","22":"tag-medical-coding-guidelines","23":"tag-patient-care-impact","24":"tag-physician-reimbursement","25":"tag-prior-authorization","26":"entry"},"_links":{"self":[{"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/posts\/15317"}],"collection":[{"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/comments?post=15317"}],"version-history":[{"count":1,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/posts\/15317\/revisions"}],"predecessor-version":[{"id":15319,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/posts\/15317\/revisions\/15319"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/media\/15318"}],"wp:attachment":[{"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/media?parent=15317"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/categories?post=15317"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/tags?post=15317"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}