CommercialBilling CodesMedium impact
Medical Policy Update for March 21, 2023
Blue Cross NC·NC · Emergency Medicine, Critical Care·Medical Policy
Effective date
Mar 21, 2023
We identified it
Jun 16, 2026
Summary
Blue Cross NC updated their ambulance and medical transport policy to require QM or QN modifiers on institutional claims, indicating whether services are provided under arrangement or as direct services. References were also updated for inpatient interfacility transfers with no policy statement changes.
Action Required
Immediately: Billing team must update institutional ambulance and medical transport claims to include QM modifier (services provided under arrangement) or QN modifier (direct services) as appropriate. Update billing system rules and train staff on proper modifier selection to prevent claim denials.