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We've clarified our covering provider arrangement requirements
October 4, 2022

This article is for physicians and clinicians caring for our members

We’ve updated our documentation requirements regarding covering arrangements for all clinicians except primary care providers.

For providers who are NOT a primary care provider (including physician specialists, behavioral health professionals, and ancillary professionals)

Our contracting application and update forms will no longer require clinicians to list the name or NPI number of their covering provider(s). Now, clinicians will be required to attest that they maintain covering arrangements that are appropriate for their specialty type.

For providers who ARE a primary care provider (including nurse practitioner PCPs and physician assistant PCPs)

We’ll continue to require that primary care providers submit the name of a covering provider who participates in the same Blue Cross of Massachusetts products as they do.

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