Reminder: Only certain modifiers payable for services provided in OPC facilities for Blue Cross commercial members

When billing for services provided in an outpatient psychiatric care facility, include the appropriate modifier to identify the licensure level of the servicing provider.  

Only the following modifiers should be reported on the claim when billing for services provided to Blue Cross Blue Shield of Michigan commercial members in OPC facilities:

For telemedicine visits that use both audio and visual technology, OPC facilities should include modifier GT or 95 on the claim.

For more information, see the updated Requirements for providing behavioral health services to Blue Cross commercial members document. 

To view billing instructions for outpatient psychiatric care facilities, see the “Psychiatric Care Services” chapter of the Blue Cross commercial provider manual.