CommercialAdministrativeHigh impact
Payment Policies for Telemedicine/Telephone Services for Commercial and Medicare Advantage Products effective January 1
Blue Cross Blue Shield of Rhode Island·RI · Family Medicine, Internal Medicine, General Practice +2 more·Physician / Facility
Effective date
Jan 1, 2021
We identified it
Jun 19, 2026
Summary
BCBSRI updated their telemedicine/telephone payment policies effective January 1, 2021, replacing COVID-19 temporary policies. Key changes include continued 100% reimbursement at in-office rates, removal of CR modifier requirement, and specific billing requirements using POS 02 with 95-modifier for video visits.
Action Required
Immediately: Update billing procedures for BCBSRI telemedicine claims - use POS 02 with 95-modifier for video visits, POS 02 only for telephone visits, and STOP using CR modifier on all telemedicine claims for dates of service January 1, 2021 and after. Billing team must verify these settings are configured correctly in billing system to ensure proper claims processing.