COVID-19 Related Telehealth Payment
Capital BlueCross has temporarily adjusted its policy (identified in Network Reimbursement Policy NR-30.026) to authorize billing and payment to providers for telehealth services consistent with an in-person visit.
This temporary policy change now applies from April 1 through September 30, 2020 to our Individual, CHIP, and Commercial group members. For our Medicare Advantage membership, this change applies beginning March 6, 2020 through the end of the public health emergency.
Coding
To facilitate reimbursement, providers must identify the place of service (POS) they would bill had the visit occurred as a face-to-face visit. Providers should NOT use “02” as POS. They must also identify that it was a telehealth service by including Modifier 95 (Synchronous Telemedicine Service Rendered via a Real-Time Interactive Audio and Video Telecommunications System).
More information
Please visit CapitalBlueCross.com for the most updated information on how we are making it easier for our members to access COVID-19 treatment.
Providers can access the Network Reimbursement Policy (NR-30.026) and answers to COVID-19 Frequently Asked Questions (FAQs) in the Provider Library via the provider portal and on the provider page at CapitalBlueCross.com