Skip to main content
Shop Plans Learn more about our coverage options including health, Medicare, dental and vision options for you, your family or your employees. Get Started Individual & Family Medicare Employer Vision Dental International Travel Find Care FAQ Blog Members Stay on top of your health care with helpful member resources. Members Home Medicare Health Dental Vision Find Care Member Knowledge Center Member Forms Medicare Forms Library Make a Payment Federal Employees Student Blue Healthy Blue Providers Access tools, policies and the latest information to help you care for our members. Providers Home Network Participation Networks & Programs Claims, Appeals & Inquiries Prior Authorization Services & CPT codes Prescription Drug Search Policies, Guidelines & Codes Provider News Provider FAQ Contact Us Employers Learn about our coverage options for small and large employers, and access tools and resources for your group. Employers Home Shop Employer Plans Employer Portal Support Member Forms & Resources Find Care Blog Agents Access the tools you need: rate quotes, applications, forms, the latest industry news, marketing materials and more. Agents Home Agent Services Check Eligibility Find Care Member Forms & Resources Medicare Forms Library
Contact Us
Log In
I am ... Please select A member A provider An employer An agent
Log in to Agent Services
Log in to Employer Services Register for Employer Services I'm registered but need portal access
Username Forgot username? Continue to Log In Register for Blue Connect Need help? Learn how to log in.
Log in to Blue e Register for Blue e Log in to Dental Blue
Back
Appropriate Telehealth Services June 07, 2022 Claims & Coding COVID-19

In response to the COVID-19 pandemic that began in 2020, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) allowed certain services to be billed as telehealth.  We have discovered through our claims review process that some services have been billed as telehealth that would not have been possible to be performed via telehealth such as surgery, anesthesia, laboratory testing and radiology.  

We will deny or request refunds for any services that were billed and paid as telehealth incorrectly.  In most cases, these services are reimbursable when claims are submitted accurately.  

Blue Cross NC will continue to review and process claims where telehealth services are billed to ensure appropriateness.   

Please note, Blue Cross NC is continuing to evaluate our telehealth policies and will keep providers updated on any changes. 

This communication applies to fully insured commercial lines of business, State Health Plan, ASO and Medicare Advantage.