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Reimbursement Policy Updates

BCBS Montana·MT·Reimbursement
Effective date
Jun 1, 2026
We identified it
Jun 24, 2026
Days to comply

Summary

Blue Cross Blue Shield of Montana updated 26 reimbursement policies covering laboratory testing, durable medical equipment, and facility services. These policies describe payment rules and methodologies for CPT, HCPCS, and ICD-10 coding for claims processing.

Action Required

Action needed
By June 1, 2026: Billing team must review all 26 updated reimbursement policies in Availity Essentials through the Plan Documents Viewer application in Blue Cross and Blue Shield of Montana Payer Spaces. Focus on policies effective June 1 and June 8 for immediate implementation. Review laboratory testing policies (RPLAB001-RPLAB071) before September 4, 2026 effective date. Update billing procedures and payment methodologies according to revised policy guidelines.