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If appropriate coding/billing guidelines or current reimbursement policies are not followed, Amerigroup may: • Reject or deny the claim. Amerigroup Iowa, Inc: Focused on your health Health & Wellness Plan. For people ages 19-64 who meet specific income requirements. Find out more Arrow Here, you will find information for assessing coverage options, guidelines for clinical utilization management (UM), practice policies and support for Behavioral health services only (BHSO). Available Statewide. Help is available for people with limited income who have both Medicare and Apple Health (Medicaid)This page contains billing guides, fee schedules, and additional billing materials to help you submit: Prior authorization (PA) for services; Claims. Claims and Billing Overview. Having a fast and accurate system for processing claims allows providers to manage their practices and our. CMOs (Amerigroup & PeachState) will pay to complete a Children 1st and First Care “Initial. Assessment” on their members, but all other follow-up services