Effective July 21, 2020, Excellus BlueCross BlueShield is updating its administrative policy that defines billing and reimbursement guidelines for increased procedural services (i.e., modifier 22) billed on professional claims.

Excellus BlueCross BlueShield implemented Administrative Policy AP-26 COVID-19 Viral and Antibody Testing effective March 13, 2020, to define the coverage, reimbursement and billing guidelines for this testing when it is determined to be medically appropriate for the diagnosis and treatment of an individual by an attending provider as evidenced by an order from the attending provider. 

Thank you for the care that you deliver to our valued members each day. We would like to provide you with some helpful tips and reminders regarding CareAdvance Provider, our new online preauthorization tool for Safety Net, Commercial and Medicare Advantage lines of business.