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insurers_and_other_payers
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insurers_and_other_payers [2020/03/16 01:35] vickybrandt |
insurers_and_other_payers [2020/09/02 22:16] (current) brennan |
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| ====== Insurers and Other Payers ====== | ====== Insurers and Other Payers ====== | ||
| - | Governor's Telehealth Declaration: https://www.mass.gov/doc/march-15-2020-telehealth-order?fbclid=IwAR0earqd9cWYMYYZCC5hrBhLEP_Shk7p5uLqDsoOQtjiyckrMHykz8AuU8U | + | Governor's Telehealth Coverage Executive Order, March 15, 2020: [[https://www.mass.gov/doc/march-15-2020-telehealth-order?fbclid=IwAR0earqd9cWYMYYZCC5hrBhLEP_Shk7p5uLqDsoOQtjiyckrMHykz8AuU8U|PDF at mass.gov]]. Crucial text from the Order: |
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| + | > [Payers] are hereby **required to allow all in-network providers to deliver clinically approrpriate, medically necessary covered service to members via telehealth.** [...] | ||
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| + | > [Insurers] **shall not impose any specific requirements on the technologies used** to deliver telehealth services (including any limitations on audio-only or live video technologies.) | ||
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| + | > The GIC and all Carriers shall ensure that **rates of payment** to in-network providers **for services delivered via telehealth are not lower** than the rates of payment established by the Carrier for services delivered via traditional (i.e., in-person) methods, and **shall notify providers of any instructions necessary to facilitate billing for such telehealth services.** | ||
| [[MassHealth]] | [[MassHealth]] | ||
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| [[Optum]] | [[Optum]] | ||
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| + | [[Tufts]] | ||
| [[Aetna]] | [[Aetna]] | ||
| [[Cigna]] | [[Cigna]] | ||
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| + | [[Unicare State Indemnity Plan]] | ||
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| + | [[Medicaid/Medicare]] | ||
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| + | ====== General Billing Info ====== | ||
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| + | Use location code 02 for telehealth rather than 11 for office | ||
| + | \\ Use modifier GT or 95 for most insurers | ||
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insurers_and_other_payers.1584322538.txt.gz · Last modified: 2020/03/16 01:35 by vickybrandt
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