UCR 267: Covered vs. Non-Covered Procedures – Getting Reimbursed 

November 21, 2025 

In this episode, Scott, Mark, and Ray Painter explore the reimbursement challenges surrounding procedures that may not be covered by insurance, including those considered cosmetic, elective, or medically unnecessary. They discuss how to identify whether a service is reimbursable, when to use ABNs, how different payer rules come into play, and why collecting upfront may be the smartest move. You’ll also hear strategies for handling denials, gray-area procedures, and why knowing the rules—and your contracts—can make all the difference.