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5/18/2018 • Posted by Provider Relations
Fidelis Care is working to support the HEDIS Measure for Use of Imaging Studies for Low Back Pain (LBP). As defined by HEDIS, use of imaging studies for low back pain includes the percentage of members 18-50 years of age who had a primary diagnosis of low back pain and did not have an imaging study (plain X-ray, MRI, CT scan) within 28 days of diagnosis. 
7/13/2017 • Posted by Provider Relations
When submitting claims with a National Drug Code (NDC), please be sure to bill your claims with a valid unit of measure abbreviation. Listed below are the NDC valid units of measure abbreviations and their descriptions:
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Each day, Fidelis Care's Utilization Management (UM) Department makes decisions on numerous health insurance claims. These decisions are based only on appropriateness of care and the existence of coverage. 

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