Claims Reminders for Behavioral Health Services
AI Summary
Blue Cross Blue Shield of Texas has issued updated billing reminders for behavioral health services, emphasizing that out-of-network providers must bill under their own NPI, trainees must be under direct supervision, and a new modifier (HL) will be required for trainee services in the future. These are reinforced existing requirements rather than new policy changes.
Action Required
Immediately: Behavioral health billing team must verify all claims are submitted under the correct rendering provider's NPI - no pass-through billing allowed. Ensure trainees bill only under supervising provider's NPI with direct supervision documented. Do NOT use modifier HL until BCBSTX provides official notification. Review current billing practices against Provider Reference Manual and policy CPCP029.
Plan Types
Commercial
States
TX
Specialties
psychiatry