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November 2019

MESSA reprocessing 2019 mental health claims for certain services

MESSA has made retroactive changes to its member copayments for certain mental health services for 2019. As a result of these changes, we’re advising our participating providers that Blue Cross Blue Shield of Michigan will be reprocessing their mental health claims for certain services for the period of Jan. 1 through Dec. 31, 2019. 

This affects the following MESSA Choices and Essentials by MESSA group numbers: BCBSM 71452, 71453; BCS 71538, 71539.

We’re reprocessing these claims because we’ve learned that MESSA members haven’t been charged copayments for some of their mental health or substance use disorder office visits in 2019.

Instead of billing members for these copayments, MESSA has decided to waive them. For members who did pay copayments for these visits, Blue Cross will pay providers the amount of the copayments and the providers will then reimburse affected patients.

All copayments will resume on Jan. 1, 2020, when the MESSA 2020 mental health benefit policy is in effect for the following MESSA Choices and Essentials by MESSA group numbers: BCBSM 71452, 71453; BCS 71538, 71539.

If you have any questions, contact Provider Inquiry.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2018 American Medical Association. All rights reserved.