Modifiers are required for covid-19 related services. To ensure appropriate claims processing, please use the following modifiers: 32, CR, or CS for the office visit and COVID-19 test for services rendered through July 31, 2023.
Currently, cost shares are not waived at this time. Cost-share waivers apply for telehealth services for fully insured and FEP members only. Cost-share waivers apply for all members for COVID-19 testing.
Many telehealth services (indicated by place of service 02) have a site-of-service differential, so reimbursement may be less when provided via telehealth.
Rates associated with codes and corresponding site of service differentials are only available through the fee schedule portal. If you have not registered for access to the portal, register at www.bcbsnd.com/FeeSchedules.
When providing services out of your affiliated billing location, no changes are necessary.
When providing services out of a location not affiliated with your profile, it must be added in order to submit claims. Navigate to the Availity portal and select "Complete Credentiatling Forms."
If you opt to temporarily perform services from your own home rather than your office, you will not need to add your home address to your profile. Claims should be submitted as if in the main practice location.
When utilizing providers outside of the BCBSND service area, there are separate billing requirements. Please contact firstname.lastname@example.org for more information.