CommercialReimbursementMedium impact
00.10.45, Reimbursement For Advanced Practice Provider Services
Independence Blue Cross·Claims & Billing
Effective date
Feb 1, 2026
We identified it
Jun 19, 2026
Summary
A new policy 00.10.45 has been established for reimbursement of Advanced Practice Provider (APP) services under commercial insurance plans. This policy will define how nurse practitioners, physician assistants, and other APPs are reimbursed for their services starting February 1, 2026.
Action Required
Before February 1, 2026: Billing team must review the full policy text at the provided URL to understand new reimbursement rules for Advanced Practice Providers. Update billing workflows, modifier usage, and credentialing processes for APPs according to the new policy requirements. Ensure all nurse practitioners and physician assistants are properly enrolled and billing complies with new reimbursement guidelines.