McLaren - Provider Network Update for May 2024

June 10, 2024

From our McLaren Partners, effective July 1, 2024 there are updates to Emergency Department Facility Evaluation and Management Coding Policy.

These policies focus on outpatient facility ED claims submitted with the following E/M codes:

  • 99284, G0383 Level 4
  • 99285, G0384 Level 5

The impacted lines of business:

  • McLaren Medicaid
  • McLaren Medicare Advantage
  • McLaren Dual Eligible Special Needs Plan (D-SNP)

Please read the attachment for all of the specific details.