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April 2024

Reminder: How billing works for care authorized by VA at non-VA facilities for FEP members

Veteran Administration benefits are coordinated with Blue Cross and Blue Shield Federal Employee Program® benefits.

When a VA facility authorizes care by a non-VA health care provider, the VA facility is considered the billing provider, and the non-VA provider is considered the performing provider. The VA, as the billing provider, is responsible for filing the member’s claim for the FEP® benefit to the local plan. The non-VA provider is reimbursed by the VA facility.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2023 American Medical Association. All rights reserved.