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October 2020
Pharmacies can bill us for COVID-19 testingPharmacies that participate in the Blue Cross Blue Shield of Michigan and Blue Care Network Vaccine Affiliation Program or have the ability to submit Medicare Part B medical claim forms can bill Blue Cross or BCN for COVID-19 testing services for patients with Blue Cross or BCN commercial or Medicare Advantage (Medicare Plus Blue℠ or BCN Advantage℠) coverage. This change is in accordance with guidance issued April 8, 2020, by the U.S. Department of Health & Human Services** and Executive Order 2020-104 issued by Michigan Gov. Gretchen Whitmer.** It’s in effect until further notice. Blue Cross and BCN are making it easier for members to get COVID-19 diagnostic and antibody tests by giving them more options on where they can be tested when:
The provider can be a licensed physician, pharmacist or attending clinician operating within the scope of their license. We posted more information about this change in August on the COVID-19 webpage and on web-DENIS. A list of codes that pharmacies can use to bill COVID-19 testing is available on our COVID-19 webpages in the Patient testing section. More information about COVID-19 testing is available on our public website at bcbsm.com/coronavirus and through the COVID-19 information page within Provider Secured Services. **Blue Cross Blue Shield of Michigan and Blue Care Network don’t own or control this website. |
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