Medical Policy Updates

Notification of Policy Revisions Effective February 23, 2021 (Posted December 17, 2020)

Medical Policy Revision
Maximum Units of Service "Notification" Policy statement revised to read: BCBSNC will not provide reimbursement for claims with units that exceed the assigned maximum for that service. The total number of units will be adjusted to the maximum and the excess units will be denied. Statements in the Guidelines section revised for consistency in allowing up to maximum units without requiring provider to resubmit except for lab claims. Drug code max units added to Guidelines. Routine policy review. Medical Director approved 12/2020. Notification given 12/17/2020 for effective date 2/23/2020.