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COVID-19 Diagnostic and Antibody Testing Information

Audience: Participating Physicians, Hospitals, Facilities and Laboratories

For its commercial members, the Health Plan provides coverage with no member cost-share for COVID-19 diagnostic/viral testing as well as antibody testing that is determined to be medically appropriate for the diagnosis and treatment of an individual by an attending...

Entering Rental Requests in CareAdvance Provider® Tool

Audience: Durable Medical Equipment Providers

We remind you that when requesting authorization for a durable medical equipment (DME) rental in CareAdvance Provider, you must include Modifier RR with the HCPCS code. Important note: If the DME item is listed on the National DME Purchase Grid as a rental, the service...

COVID-19Telehealth Billing Information for NYS OMH Licensed & Designated Facilities

Audience: NYS OMH Licensed & Designated Facilities

The following information is meant to assist you in providing care and easier access to our members during the COVID-19 State of Emergency. We hope that this information helps to address telehealth questions unique to your facility. Telehealth visits are covered for all...

Memorial Day Pay Cycle Information

Audience: All providers

We are providing you with advance notice of a change to our pay cycle schedule due to the Memorial Day holiday. These schedule changes will not affect your payment amount. Paper checks will mail on Tuesday, May 26. Please allow for delivery time via the U.S. Postal...

COVID-19 Commercial & Medicare Update for CPT Codes 99441-99443; Expansion of E/M Codes Allowed for Safety Net Programs

Audience: Participating Physicians

Phone Only E/M Rate Update for CPT® Codes 99441-99443 for Commercial and Medicare The Centers for Medicare & Medicaid Services recently updated its reimbursement rates for telephone evaluation and management CPT codes 99441-99443 during the COVID-19 state of...

COVID-19 Supplement to NYS DFS Insurance Circular Letter #8 Related to Hospitals

Audience: Participating Hospitals

The following information is meant to assist you in providing outpatient services to our members during the COVID-19 state of emergency. We want to ensure that our members have access to needed health care from the safety of their homes. Telehealth visits are covered for...

Reminder – CareAdvance Provider® Tool Expanding to Medicare Advantage Business on May 18, 2020

Audience: All providers

We remind you that our new electronic preauthorization tool, CareAdvance Provider will be used to request authorizations for our members with Medicare Advantage coverage as of May 18, 2020. Important note: The Clear CoverageTM tool will no longer be active for Medicare...

COVID-19 Preventive Health Visit Information for Physicians

Audience: Participating Physicians

The health and well-being of our members remain our highest priority.  We want to ensure that our members have access to preventive care during the COVID-19 state of emergency, and we also want to eliminate barriers to providing this care.  Because a key...

Dental Claim Fields 53 and 54 Reminder

Audience: Participating Dental Providers

Excellus BlueCross BlueShield would like to remind you that field 53 (dental provider signature) and field 54 (NPI) are required for a claim to process successfully. Please note that a claim submitted with “Signature on file” for field 53 will be returned as a billing...

COVID-19 Telehealth Information for Hospital Outpatient Services

Audience: Participating Hospitals

The following information is meant to assist you in providing outpatient services to our members during the COVID-19 state of emergency. We want to ensure that our members have access to needed health care from the safety of their homes. Telehealth visits are covered for...

CareAdvance Provider® Tool Expanding to Medicare Advantage Business on May 18, 2020

Audience: All Providers and Facilities

Our new electronic preauthorization tool, CareAdvance Provider, will be used to request authorizations for our members with Medicare Advantage coverage as of May 18, 2020. Important note: The Clear CoverageTM tool will no longer be active for Medicare Advantage...

Reminder: Requesting Additional Visits in CareAdvance Provider®

Audience: All Providers

We remind you of the process for requesting additional visits for our members due to our recent transition of Commercial business to the new CareAdvance Provider authorization tool. If you have an authorization that was entered originally using our Clear CoverageTM tool...

COVID-19 FAQs for Durable Medical Equipment Providers

Audience: Durable Medical Equipment Providers

The following information is meant to assist you in providing durable medical equipment (DME) and related services to our members during the COVID-19 State of Emergency. We hope that this information helps to address questions unique to your business. Q. Will you provide...

COVID-19 Telehealth Information Related to Psychological Testing

Audience: Psychologists, Licensed Clinical Social Workers, Licensed Mental Health Counselors and Licensed Marriage and Family Therapists

The following information is meant to assist you in providing care and ease of access to our members during the COVID-19 State of Emergency. We hope that this information helps to address telehealth questions unique to your practice, particularly regarding psychological...

Telehealth Information for Evaluation and Management Visits During the COVID-19 State of Emergency

Audience: Physicians, Nurse Practitioners and Physician Assistants

To assist our participating providers in delivering care to our members during the COVID-19 State of Emergency, we will provide reimbursement for evaluation and management (E/M) visit codes when they are provided via telehealth through audio (telephone) only.  This...

Showing 76– 90 of 139 Results