This article is for all providers caring for our members
Blue Cross accepts industry-standard modifiers to allow for clear provider reporting of services and accurate claims processing. When a CPT or HCPCS modifier is reported on a professional or facility claim, the applicable reimbursement information applies to all provider types.
As a reminder, our CPT and HCPCS Modifiers payment policy states:
Refer to our existing CPT and HCPCS Modifiers payment policy for additional guidelines.
We have expanded our ability to process claims pre-payment in accordance with our existing payment policy. As a result, this will help reduce the number of claims that need post-payment review.
To download our payment policies, log in and click Find a Payment Policy on the right side of your home page. Or, go to Office Resources>Policies & Guidelines>Payment Policies.
If you have any questions, please call Network Management and Credentialing Services at 1-800-316-BLUE (2583). As always, thank you for the care you provide to our members.
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