All PlansAdministrativeHigh impact
Vermont Blue Advantage (VBA) Claims Reminder
Blue Cross Blue Shield of Vermont·VT·Provider News
Effective date
Jul 3, 2026
We identified it
Jun 19, 2026
Summary
Vermont Blue Cross has announced multiple policy updates effective at various dates, including mandatory Electronic Fund Transfer (EFT) payments starting October 1, 2026, new National Drug Code (NDC) requirements for certain services starting July 3, 2026, and CAA Provider Directory Validation requirements with claim denials for non-compliance starting September 1, 2026. Several other changes affect nutritional therapy policies, maternity coding, and radiology guidelines.
Action Required
By October 1, 2026: Billing team must enroll in Electronic Fund Transfer (EFT) by calling PayeeHub Customer Care at (877) 882-0384 to avoid paper check elimination. By July 3, 2026: Update billing system to require NDC, Unit of Measure, and Quantity for specified HCPCS services or claims will be denied. By July 31, 2026: Complete CAA Provider Directory Validation within 30 days of notification or claims under non-validated NPI numbers will be denied starting September 1, 2026. Review nutritional therapy policies effective August 1, 2026, and prepare for maternity coding changes effective January 1, 2027.