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Schedule of Benefit for Medical Fees

Reasonable and Customary charges  
Transparency of Charges with Patients  
Unbundling  
Multiple Procedures  
Misrepresentation  

Unbundling

The component parts of single procedures or services must not be itemised out and billed as if they were separate or additional services. As a guide, there is no clinical intervention which should routinely need more than one code. Atlas Healthcare will not reimburse additional charges for component parts of single Procedures.

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