Umr Fee Schedule 2025. Benefit coverage for health services is determined by the member specific benefit plan document, such as a certificate of coverage, schedule of benefits, or summary plan description, and applicable laws that may require coverage for a specific service. Health consumers can claim 100% of this fee as a rebate for general practice services and.
The list contains the fee schedule amounts, floors, and ceilings for all procedure codes and payment category, jurisdication, and short description assigned to each procedure code. Fee schedule will only display dental procedure codes that are covered by the plan.