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June 2016

Home Infusion Therapy claims for FEP Basic Option members need separate lines

Home Infusion Therapy services for Federal Employee Program® Basic Option members must be billed line by line for each date.

Basic Option members have a per-day copayment. Each date of service must be on a separate line so the system can accurately apply the copayment.

For example, if service dates run from April 1, 2016, through April 5, 2016, each date must have a separate line. April 1, April 2, April 3, April 4 and April 5 should each be on a separate line.

This only applies to Basic Option contracts with enrollment codes 111, 112 and 113.

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