The Record - for physicians and other health care providers to share with their office staffs
February 2014

Reminder: Submitting physical therapy claims for GM UAW hourly workers

As you may know, TheraMatrix administers outpatient physical therapy services for General Motors UAW hourly employees with Blue Cross Blue Shield of Michigan Traditional Care Network coverage. Covered physical therapy evaluation and treatment includes CPT codes *97001, modalities *97010 to *97799, and revenue codes 421 and 424 in approved office and outpatient settings.

Claims for these members should be submitted to:

TheraMatrix Physical Therapy Network
P.O. Box 321036
Detroit, MI 48232-1036

All inpatient facility physical therapy and inpatient or outpatient occupational or speech therapy services are excluded from this program with TheraMatrix. BCBSM will process claims for such services and also for physical therapy services received in the emergency room or during an observation stay.

Call 1-888-638-8786 or visit theramatrix.com** if you have questions about eligibility, coverage or benefits.

**Blue Cross Blue Shield of Michigan does not control this website or endorse its general content.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2013 American Medical Association. All rights reserved.