After our latest policy update on our expanded telehealth measures (see www.bluecrossnc.com/coronavirus-providers for details), we received numerous questions related to claims and reimbursement. Please see below for additional guidance.
- Any claims submitted on or after March 6, 2020, will be reprocessed and paid at parity. You do not need to take additional actions.
- You can use any face-to-face visit codes for telehealth. However, you must also use POS 02. Additionally, if you used telephone only, you must use modifier CR. Please note that any PPA requirements still apply when services are performed via telehealth.
- If you believe an eligible telehealth claim has been improperly denied or reimbursed, please resubmit it.
We thank you for your patience as we work through our processes for these new measures. Our priority is to address any issues as quickly as possible to ensure that both providers and members are able to utilize our expanded telehealth benefit.
Additionally, please note that we have been experiencing a high volume of inquiries. Most questions can be answered through the materials that have already been posted or are now updated with more complete information. If you have questions, we ask that you first review the resources on our dedicated coronavirus site for providers at www.bluecrossnc.com/coronavirus-providers. If you cannot find answers there, please email us at COVID19questions@bcbsnc.com.