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May 2016

Clarification: BCN’s telemedicine policy

In previous issues of The Record, we’ve written about our policy for reimbursing health care providers for telemedicine services. We’d like to clarify what Blue Care Network provider types are eligible for reimbursement.

BCN’s medical policy provides coverage for certain telemedicine services. The policy applies to both commercial members and BCN AdvantageSM. (Online visits billed with *99444 are not covered for BCN Advantage.)

Telemedicine visits include voice-only or audio-visual communication and must take place at an originating site; for example, a doctor’s office. Eligible providers may include: M.D.s, D.O.s, certified nurse midwives, clinical nurse practitioners, clinical psychologists, clinical social workers, physician assistants and licensed professional counselors.

For more details on BCN’s telemedicine policy, see this article in the March - April issue of BCN Provider News.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2015 American Medical Association. All rights reserved.
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