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Clinical Review Criteria
CPT Codes That Do Not Require Pre-Authorization

Clinical Review Criteria

Atlantis Rewards Program

Providers > Advantages of Joining Atlantis

  • Become part of a unique, growing, New York City based HMO which is completely doctor owned and doctor managed.
  • Medical decisions made by physicians not insurance executives.
  • Fee for service with superior reimbursement rates based on percentage of the current RBRVS schedule.
  • 100% of professional claims processed within 30 days of receipt if submitted by EDI or 45 day of receipt if submitted by clean paper HCFA 1500.
  • Electronic claims billing through WebMD as well as other clearinghouses.
  • Personalized provider service.
  • To request a fee schedule, please contact Provider Relations at 866-747-8422 or via email.