Summary
Blue Cross is changing its incident-to reimbursement rules so that provider types offered network participation, such as nurse practitioners, physician assistants, dietitians, audiologists and certified nurse anesthetists, must file claims under their own provider number effective June 1, 2019. Services will no longer be billed under the supervising provider, and only provider types not offered network participation may bill under the supervising provider's contract number. The newsletter also sets an itemized bill requirement for inpatient acute claims billed over $250,000 effective November 15, 2018, and states that Blue Cross does not recognize provider-based billing for office services.
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