User Tools
insurers_and_other_payers
Differences
This shows you the differences between two versions of the page.
| Both sides previous revision Previous revision Next revision | Previous revision | ||
|
insurers_and_other_payers [2020/03/16 01:50] vlayne |
insurers_and_other_payers [2020/09/02 22:16] (current) brennan |
||
|---|---|---|---|
| Line 1: | Line 1: | ||
| ====== Insurers and Other Payers ====== | ====== Insurers and Other Payers ====== | ||
| - | Governor's Telehealth Coverage Executive Order: https://www.mass.gov/doc/march-15-2020-telehealth-order?fbclid=IwAR0earqd9cWYMYYZCC5hrBhLEP_Shk7p5uLqDsoOQtjiyckrMHykz8AuU8U (PDF) | + | 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: |
| - | Crucial text from the Order: | + | > [Payers] are hereby **required to allow all in-network providers to deliver clinically approrpriate, medically necessary covered service to members via telehealth.** [...] |
| - | > **NOW, THEREFORE,** I hereby order the following: | + | > |
| - | > [Payers] are hereby required to allow all in-network providers to deliver clinically approrpriate, medically necessary covered service to members via telehealth. [...] | + | > [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.) |
| - | > [Insurers] shall not impose any specific requiresents on the technologies used to deliver telehealth services (including any limitations on audio-only or live video technologies.) | + | > |
| - | > 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. | + | > 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.** |
| Line 15: | Line 15: | ||
| [[Optum]] | [[Optum]] | ||
| + | |||
| + | [[Tufts]] | ||
| [[Aetna]] | [[Aetna]] | ||
| [[Cigna]] | [[Cigna]] | ||
| + | |||
| + | [[Unicare State Indemnity Plan]] | ||
| + | |||
| + | [[Medicaid/Medicare]] | ||
| + | |||
| + | |||
| + | ====== General Billing Info ====== | ||
| + | |||
| + | Use location code 02 for telehealth rather than 11 for office | ||
| + | \\ Use modifier GT or 95 for most insurers | ||
| + | |||
insurers_and_other_payers.1584323417.txt.gz · Last modified: 2020/03/16 01:50 by vlayne
Page Tools
