This article is intended for these vision services and hearing aid service providers and their office staff:
- Audiologists
- Ophthalmologists
- Optometrists
We’d like to remind you that you should be submitting claims for the services listed below directly to us before billing the member.
We’re receiving claims from Medicare Advantage members for these services even though the servicing provider participates with Blue Cross and should be submitting to us directly.
Which services for Medicare Advantage members?
| Vision services codes | Reimbursement |
|---|---|
|
To access your fee schedule, log in and go to Office Resources>Billing & Reimbursement> Fee Schedules. |
| Hearing aid codes | Reimbursement |
|---|---|
|
When a member has hearing aid coverage, we reimburse the provider’s charge up to the member’s maximum benefit. Please remember to review the member’s coverage with them first and have them sign a non-covered service waiver if the hearing aid is not covered. |
Getting details about your claim payment
Once the claim processes according to the member’s benefits, you’ll receive a Provider Detail Advisory on Payspan that outlines your reimbursement and any amount the member may owe.
Questions?
For questions, please contact your network representative at 1-800-316-BLUE (2583).
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