Telemedicine Coverage by Payer by EMPClaims
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Please Note:
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- All of you are providing much needed care to patients at great risk to you and your families, we at EMPClaims thank you for your commitment and service
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- Legal Disclaimer: This is not a guaranty of payment but our interpretation of Telemedicine billing guidelines for each payer. The attached policy links will allow you to appeal denials
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www.empclaims.com
- These policies are still evolving. Some of them changed even as we were adding them to this worksheet
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If you want to be notified of updates, please send an email to the address below with your state of practice and we will send a notification as we make updates to that state
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pkedia@empclaims.com
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Last CheckedStatePayer/ PlanPlan TypeCPT CodesComm TypeType of ServicePOSModifierAdditional NotesCost Sharing for TelemedicinePolicy Termination datePolicy Link/ Update LinkAdditional Policy (PDF)
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04/22/2020NationalCMS MedicareMedicare99201-99215Audio/ Video ReqOffice or other outpatient visits1195Provider Optionhttps://www.cms.gov/files/document/covid-final-ifc.pdf
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04/22/2020NationalCMS MedicareMedicareG2012Telephone AllowedTelephonic Encounter (Virtual Checks in)11BlankProvider Optionhttps://www.cms.gov/files/document/covid-final-ifc.pdf
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04/22/2020NationalCMS MedicareMedicare99441-99443Telephone AllowedTelephonic Encounter (Virtual Checks in)11BlankProvider Optionhttps://www.cms.gov/files/document/covid-19-physicians-and-practitioners.pdf
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Please Add Modifier CS to Medicare Claims with (Covid) Reason for Visit to get Cost Sharing Waiver (Click here for details)https://www.cms.gov/outreach-and-educationoutreachffsprovpartprogprovider-partnership-email-archive/2020-04-07-mlnc-se?fbclid=IwAR0RQ9nBdwUj5tKHTPPpEjqXQ_rwUwdiF3iaLMP-wPHwrkDgPRTNejy3AxI#_Toc37139913
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5/25/2020NationalAetna CommercialCommercial99201-99215Video RequiredOffice or other outpatient visits295 or GTWaived6/4/2020https://www.aetna.com/health-care-professionals/provider-education-manuals/covid-faq.htmlhttps://www.aetna.com/health-care-professionals/provider-education-manuals/covid-faq/telemedicine.html#acc_link_content_section_responsivegrid_responsivegrid_accordion_639178852_1
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5/25/2020NationalAetna CommercialCommercial99441 to 99443Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11BlankWaived6/4/2020https://www.aetna.com/health-care-professionals/provider-education-manuals/covid-faq.html
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5/25/2020NationalAetna CommercialCommercialG2012Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11BlankWaived6/4/2020https://www.aetna.com/health-care-professionals/provider-education-manuals/covid-faq/billing-and-coding.html#acc_link_content_section_responsivegrid_responsivegrid_accordion_1641484083_2 https://www.aetna.com/health-care-professionals/provider-education-manuals/covid-faq/telemedicine.html#acc_link_content_section_responsivegrid_responsivegrid_accordion_83014062_1
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5/25/2020NationalAetna Medicare AdvantageMedicare Advantage99201-99215Video RequiredOffice or other outpatient visits1195Waived9/30/2020https://www.aetna.com/health-care-professionals/provider-education-manuals/covid-faq.html
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5/25/2020NationalAetna Medicare AdvantageMedicare Advantage99441-99443Telephone Call Allowed- Video Not RequiredVirtual Check-In (Telephone Only Allowed)11BlankWaived9/30/2020https://www.aetna.com/health-care-professionals/provider-education-manuals/covid-faq.html
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5/25/2020NationalAetna Medicare AdvantageMedicare AdvantageG2012Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11BlankWaived9/30/2020https://www.aetna.com/health-care-professionals/provider-education-manuals/covid-faq/billing-and-coding.html#acc_link_content_section_responsivegrid_responsivegrid_accordion_1641484083_2 https://www.aetna.com/health-care-professionals/provider-education-manuals/covid-faq/telemedicine.html#acc_link_content_section_responsivegrid_responsivegrid_accordion_83014062_1
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5/25/2020NationalCignaNational99201 to 99215Telephone Call Allowed- Video Not RequiredOffice or other outpatient visits (Only Phone visit Also Allowed)11GQ,GT or 95( For Suspected and Likely to be covid visit CS Modifer and CR modifer required to get cost waiver with appropriate ICD 10)Waived for Covid Only7/31/2020https://static.cigna.com/assets/chcp/resourceLibrary/medicalResourcesList/medicalDoingBusinessWithCigna/medicalDbwcCOVID-19.html
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5/25/2020NationalCignaNationalG2012Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11BlankWaived7/31/2020https://static.cigna.com/assets/chcp/resourceLibrary/medicalResourcesList/medicalDoingBusinessWithCigna/medicalDbwcCOVID-19.html
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5/25/2020NationalCignaNational99441-99443Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11BlankWaived7/31/2020https://static.cigna.com/assets/chcp/resourceLibrary/medicalResourcesList/medicalDoingBusinessWithCigna/medicalDbwcCOVID-19.html
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5/11/2020NationalHumana CommercialCommercial99201-99215Video RequiredOffice or other outpatient visits1195Waivedhttps://www.humana.com/provider/coronavirus/telemedicinehttps://docushare-web.apps.cf.humana.com/Marketing/docushare-app?file=3923140
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5/11/2020NationalHumana CommercialCommercial99241-99245Video RequiredOffice or other outpatient visits1195Waivedhttps://www.humana.com/provider/coronavirus/telemedicinehttps://docushare-web.apps.cf.humana.com/Marketing/docushare-app?file=3923140
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5/11/2020NationalHumana CommercialCommercial99441-99443Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11BlankWaivedhttps://www.humana.com/provider/coronavirus/telemedicinehttps://docushare-web.apps.cf.humana.com/Marketing/docushare-app?file=3923140
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5/11/2020NationalHumana CommercialCommercialG2012Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11BlankWaivedhttps://www.humana.com/provider/coronavirus/telemedicine
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5/11/2020NationalHumana Medicare AdvantageMedicare Advantage99201-99215Video RequiredOffice or other outpatient visits1195Waivedhttps://www.humana.com/provider/coronavirus/telemedicine
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5/11/2020NationalHumana Medicare AdvantageMedicare Advantage99441-99443Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11BlankWaivedhttps://www.humana.com/provider/coronavirus/telemedicine
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5/11/2020NationalHumana Medicare AdvantageMedicare AdvantageG2012Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11BlankWaivedhttps://www.humana.com/provider/coronavirus/telemedicine
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5/18/2020NationalUHC CommercialCommercial99201-99215Telephone Call Allowed- Video Not RequiredOffice or other outpatient visits1195Waived6/18/2020https://www.uhcprovider.com/en/resource-library/news/Novel-Coronavirus-COVID-19/covid19-telehealth-services/covid19-telehealth-services-telehealth.htmlhttps://www.uhcprovider.com/content/dam/provider/docs/public/resources/news/2020/Telehealth-Patient-Scenarios.pdf
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5/18/2020NationalUHC CommercialCommercialG2012Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11BlankWaived6/18/2020https://www.uhcprovider.com/en/resource-library/news/Novel-Coronavirus-COVID-19/covid19-telehealth-services/covid19-telehealth-services-telehealth.htmlhttps://www.uhcprovider.com/content/dam/provider/docs/public/resources/news/2020/Telehealth-Patient-Scenarios.pdf
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5/18/2020NationalUHC CommercialCommercial99441-99443Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11BlankWaived6/18/2020https://www.uhcprovider.com/en/resource-library/news/Novel-Coronavirus-COVID-19/covid19-telehealth-services/covid19-telehealth-services-virtual-visits.html
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5/18/2020NationalUHC Medicare AdvantageMedicare Advantage99201-99215Telephone Call Allowed- Video Not RequiredOffice or other outpatient visits1195Waived9/30/2020https://www.uhcprovider.com/en/resource-library/news/Novel-Coronavirus-COVID-19/covid19-telehealth-services/covid19-telehealth-services-telehealth.htmlhttps://www.uhcprovider.com/content/dam/provider/docs/public/resources/news/2020/Telehealth-Patient-Scenarios.pdf
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5/18/2020NationalUHC Medicare advantageMedicare AdvantageG2012Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11BlankWaived9/30/2020https://www.uhcprovider.com/en/resource-library/news/Novel-Coronavirus-COVID-19/covid19-telehealth-services/covid19-telehealth-services-telehealth.htmlhttps://www.uhcprovider.com/content/dam/provider/docs/public/resources/news/2020/Telehealth-Patient-Scenarios.pdf
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5/18/2020NationalUHC Medicare advantageMedicare Advantage99441-99443Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11BlankWaived9/30/2020https://www.uhcprovider.com/en/resource-library/news/Novel-Coronavirus-COVID-19/covid19-telehealth-services/covid19-telehealth-services-virtual-visits.html
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4/28/2020AlabamaBCBS of AlabamaCommercial
99201-99204
99211-99214
Telephone Call Allowed- Video Not RequiredOffice or other outpatient visits & AWV2BlankMust be performed with audio AND visual components unless otherwise stated in this guide. If video is not available, the medical record’s encounter documentation should note that services were rendered via audio telecommunications only due to the patient not having access to video capabilitiesWaivedhttps://providers.bcbsal.org/portal/documents/10226/3494887/Telehealth+Billing+Guide/b92b12c5-585f-471c-5921-72465c49b16f
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4/28/2020AlabamaBCBS of AlabamaBlue Advantage
99201-99204
99211-99214
Telephone Call Allowed- Video Not RequiredOffice or other outpatient visits & AWV2BlankWaivedhttps://providers.bcbsal.org/portal/documents/10226/3494887/Telehealth+Billing+Guide/b92b12c5-585f-471c-5921-72465c49b16f
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4/28/2020AlabamaBCBS of Alabama Blue AdvantageG2012Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)2BlankWaivedhttps://providers.bcbsal.org/portal/web/pa/resources/-/resource/viewArticle/XBPIOOAUGBhttps://providers.bcbsal.org/portal/documents/10226/3494887/Telehealth+Billing+Guide/b92b12c5-585f-471c-5921-72465c49b16f
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4/8/2020AlabamaSimpra Medicare AdvantageMedicare Advantage99201-99215Video RequiredOffice or other outpatient visits1195Waivedhttps://simpra.com/providers-partners/https://simpra.com/wp-content/uploads/documents/SIMPRA_Annual-Notice-of-Change_ISNP.pdf
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4/8/2020AlabamaSimpra Medicare AdvantageMedicare Advantage99441-99443Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11BlankWaivedhttps://simpra.com/providers-partners/https://simpra.com/wp-content/uploads/documents/SIMPRA_Annual-Notice-of-Change_ISNP.pdf
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4/28/2020AlaskaPremera BCBS CommercialCommercial99201-99215Video RequiredOffice or other outpatient visits1195 or GTWaivedhttps://www.premera.com/ak/provider/coronavirus-19-faq/https://www.premera.com/documents/044202.pdf
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4/28/2020AlaskaPremera BCBS CommercialCommercial99441-99443Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11BlankWaivedhttps://www.premera.com/ak/provider/coronavirus-19-faq/https://www.premera.com/documents/044202.pdf
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4/28/2020AlaskaPremera BCBS Medicare AdvantageMedicare Advantage99201-99215Video RequiredOffice or other outpatient visits1195Waivedhttps://www.premera.com/ak/provider/coronavirus-19-faq/https://www.premera.com/documents/044202.pdf
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4/28/2020AlaskaPremera BCBS Medicare AdvantageMedicare Advantage99441-99443Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11BlankWaivedhttps://www.premera.com/ak/provider/coronavirus-19-faq/https://www.premera.com/documents/044202.pdf
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4/10/2020ArizonaAmerivantage HMOMedicare Advantage99201-99215Video RequiredTelephonic Encounter (Virtual Checks in)2GT or 95Waived for Covid Onlyhttps://providers.amerigroup.com/pages/arizona.aspxhttps://providers.amerigroup.com/Public%20Documents/AGP_ALL_CARE_TalkingPointsCOVID19.pdf
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4/10/2020ArizonaAmerivantage HMOMedicare Advantage99441-99443Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11Waived for Covid Onlyhttps://providers.amerigroup.com/pages/arizona.aspxhttps://providers.amerigroup.com/Public%20Documents/AGP_ALL_CARE_TalkingPointsCOVID19.pdf
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5/20/2020ArizonaArizona BCBSCommercial99201-99215Video RequiredOffice or other outpatient visits2GT or 95Waived03/11/2020-06/12/2020https://www.azblue.com/coronavirus-providers
https://www.azblue.com/~/media/azblue/files/healthcare/resources/tele-everything-bcbsaz-quick-reference.pdf?la=en
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5/20/2020ArizonaArizona BCBSCommercialG2012Telephone Call Allowed- Video Not RequiredOffice or other outpatient visits11BlankWaived03/11/2020-06/12/2020https://www.azblue.com/coronavirus-providers
https://www.azblue.com/~/media/azblue/files/healthcare/resources/tele-everything-bcbsaz-quick-reference.pdf?la=en
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5/20/2020ArizonaArizona BCBSCommercial99441-99443Telephone Call Allowed- Video Not RequiredOffice or other outpatient visits11BlankWaived03/11/2020-06/12/2020https://www.azblue.com/coronavirus-providers
https://www.azblue.com/~/media/azblue/files/healthcare/resources/tele-everything-bcbsaz-quick-reference.pdf?la=en
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5/20/2020ArizonaArizona BCBS Medicare advantageMedicare Advantage99201-99215Video RequiredOffice or other outpatient visits1195Waived03/06/2020-12/31/2020https://www.azblue.com/coronavirus-providers
https://www.azblue.com/~/media/azblue/files/healthcare/resources/tele-everything-bcbsaz-quick-reference.pdf?la=en
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5/20/2020ArizonaArizona BCBS Medicare advantageMedicare AdvantageG2012Telephone Call Allowed- Video Not RequiredOffice or other outpatient visits11BlankWaived03/06/2020-12/31/2020https://www.azblue.com/coronavirus-providers
https://www.azblue.com/~/media/azblue/files/healthcare/resources/tele-everything-bcbsaz-quick-reference.pdf?la=en
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5/20/2020ArizonaArizona BCBS Medicare advantageMedicare Advantage99441-99443Telephone Call Allowed- Video Not RequiredOffice or other outpatient visits11BlankWaived03/06/2020-12/31/2020https://www.azblue.com/coronavirus-providers
https://www.azblue.com/~/media/azblue/files/healthcare/resources/tele-everything-bcbsaz-quick-reference.pdf?la=en
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4/4/2020ArkansasBCBS of ArkansasCommercial99441-99443Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11Waivedhttps://secure.arkansasbluecross.com/members/report.aspx?policyNumber=2015034#lblCpthttps://www.arkansasbluecross.com/docs/librariesprovider9/default-document-library/providersnews-march-2020-508.pdf
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4/28/2020ArkansasBCBS of ArkansasCommercial
99201-99204
99211-99214
Telephone Call Allowed- Video Not RequiredOffice or other outpatient visits (E/M codes 99205 and 99215 are excluded)2GT or 95Waivedhttps://www.arkansasbluecross.com/providers/medical-providers/providers-newshttps://www.arkansasbluecross.com/docs/librariesprovider9/default-document-library/covid-19_special-issue_april-2020.pdf?sfvrsn=eb9b61fd_4
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5/25/2020CaliforniaAnthem BCBS CommercialCommercial99201-99215Video RequiredOffice or other outpatient visits2GT or 95Waivedhttps://providernews.anthem.com/california/article/information-from-anthem-for-care-providers-about-covid-19-5
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5/25/2020CaliforniaAnthem BCBS CommercialCommercial99441-99443Telephone Call Allowed- Video Not RequiredOffice or other outpatient visits11BlankWaived
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5/25/2020CaliforniaAnthem BCBS Medicare AdvantageMedicare Advantage99201-99215Video RequiredOffice or other outpatient visits2GT or 95Waivedhttps://www11.anthem.com/shared/noapplication/f0/s0/t0/pw_g397777.pdf?refer=ahpmedproviderhttps://www11.anthem.com/shared/noapplication/f0/s0/t0/pw_g397777.pdf?refer=ahpmedprovider
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5/25/2020CaliforniaAnthem BCBS Medicare AdvantageMedicare Advantage99441-99443Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11BlankWaivedhttps://www11.anthem.com/shared/noapplication/f0/s0/t0/pw_g397777.pdf?refer=ahpmedproviderhttps://www11.anthem.com/shared/noapplication/f0/s0/t0/pw_g397777.pdf?refer=ahpmedprovider
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4/28/2020CaliforniaBlue shield of CaliforniaCommercial99201-99215
Telephone Call Allowed, Audio/Video Allowed
Office or other outpatient visits295 or GQWaived for Covid Only https://www.blueshieldca.com/bsca/bsc/wcm/connect/provider/provider_content_en/guidelines_resources/COVID-19-network-providers-infohttps://www.blueshieldca.com/bsca/bsc/public/common/PortalComponents/provider/StreamDocumentServlet?fileName=PRV_Cost-sharing_coding_and_billing.pdf
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5/25/2020ColoradoAnthem BCBS CommercialCommercial99201-99215Video RequiredOffice or other outpatient visits2GT or 95Waivedhttps://providernews.anthem.com/colorado/article/information-from-anthem-for-care-providers-about-covid-19-updated-march-20-2020
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5/25/2020ColoradoAnthem BCBS CommercialCommercial99441-99443Telephone Call Allowed- Video Not RequiredOffice or other outpatient visits11BlankWaivedhttps://providernews.anthem.com/colorado/article/information-from-anthem-for-care-providers-about-covid-19-updated-march-20-2020
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5/25/2020ColoradoAnthem BCBS Medicare AdvantageMedicare Advantage99201-99215Video RequiredOffice or other outpatient visits2GT or 95Waivedhttps://www11.anthem.com/shared/noapplication/f0/s0/t0/pw_g397777.pdf?refer=ahpmedprovider
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5/25/2020ColoradoAnthem BCBS Medicare AdvantageMedicare Advantage99441-99443Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11BlankWaivedhttps://www11.anthem.com/shared/noapplication/f0/s0/t0/pw_g397777.pdf?refer=ahpmedprovider
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5/25/2020ConnecticutAnthem BCBS CommercialCommercial99201-99215Video RequiredOffice or other outpatient visits2GT or 95Waivedhttps://providernews.anthem.com/connecticut/article/information-from-anthem-for-care-providers-about-covid-19-3
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5/25/2020ConnecticutAnthem BCBS CommercialCommercial99441-99443Telephone Call Allowed- Video Not RequiredOffice or other outpatient visits11BlankWaivedhttps://providernews.anthem.com/connecticut/article/information-from-anthem-for-care-providers-about-covid-19-3
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5/25/2020ConnecticutAnthem BCBS Medicare AdvantageMedicare Advantage99201-99215Video RequiredOffice or other outpatient visits2GT or 95Waivedhttps://www11.anthem.com/shared/noapplication/f0/s0/t0/pw_g397777.pdf?refer=ahpmedprovider
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5/25/2020ConnecticutAnthem BCBS Medicare AdvantageMedicare Advantage99441-99443Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11BlankWaivedhttps://www11.anthem.com/shared/noapplication/f0/s0/t0/pw_g397777.pdf?refer=ahpmedprovider
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4/4/2020DCBCBS of DCCommercial99201-99215Video RequiredOffice or other outpatient visits295/GTWaivedhttps://individual.carefirst.com/carefirst-resources/pdf/carefirst-telemedicine-code-modifier.pdf
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4/4/2020DCBCBS of DCCommercial99441Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11BlankWaivedhttps://individual.carefirst.com/individuals-families/about-us/coronavirus-telemedicine.pageOnly flat fee of $20 will be paid
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5/25/2020DelawareHighmark DE CommericalCommercial99201-99215Video RequiredOffice or other outpatient visits295 or GTWaived9/30/2020https://hdebcbs.highmarkprc.com/COVID-19/Telemedicine-and-Virtual-Visits-DEhttps://content.highmarkprc.com/Files/NewsletterNotices/SpecialBulletins/hmk-temp-telemed-code-list.pdf
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5/25/2020DelawareHighmark DE CommericalCommercial99241-99245Video RequiredOffice or other outpatient visits295 or GTWaived9/30/2020https://hdebcbs.highmarkprc.com/COVID-19/Telemedicine-and-Virtual-Visits-DEhttps://content.highmarkprc.com/Files/NewsletterNotices/SpecialBulletins/hmk-temp-telemed-code-list.pdf
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5/25/2020DelawareHighmark DE CommericalCommercial99441-99443Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11BlankWaived9/30/2020https://hdebcbs.highmarkprc.com/COVID-19/Telemedicine-and-Virtual-Visits-DEhttps://content.highmarkprc.com/Files/NewsletterNotices/SpecialBulletins/hmk-temp-telemed-code-list.pdf
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5/25/2020DelawareHighmark DE CommercialCommercialG2012Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)2BlankWaived9/30/2020https://hdebcbs.highmarkprc.com/COVID-19/Telemedicine-and-Virtual-Visits-DEhttps://content.highmarkprc.com/Files/NewsletterNotices/SpecialBulletins/hmk-temp-telemed-code-list.pdf
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5/25/2020DelawareHighmark DE Medicare AdvantageMedicare Advantage99201-99215Video RequiredOffice or other outpatient visits1195Waived9/30/2020https://hdebcbs.highmarkprc.com/COVID-19/Telemedicine-and-Virtual-Visits-DEhttps://content.highmarkprc.com/Files/NewsletterNotices/SpecialBulletins/hmk-temp-telemed-code-list.pdf
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5/25/2020DelawareHighmark DE Medicare AdvantageMedicare Advantage99441-99443Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11BlankWaived9/30/2020https://hdebcbs.highmarkprc.com/COVID-19/Telemedicine-and-Virtual-Visits-DEhttps://content.highmarkprc.com/Files/NewsletterNotices/SpecialBulletins/hmk-temp-telemed-code-list.pdf
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5/25/2020DelwareHighmark DE Medicare AdvantageMedicare AdvantageG2012Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11BlankWaived9/30/2020https://hdebcbs.highmarkprc.com/COVID-19/Telemedicine-and-Virtual-Visits-DEhttps://content.highmarkprc.com/Files/NewsletterNotices/SpecialBulletins/hmk-temp-telemed-code-list.pdf
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4/12/2020FloridaAllwell Medicare HMO(Sunshine Health)Medicare AdvantageG2012Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11BlankWaived for Covid Onlyhttps://www.sunshinehealth.com/providers/coronavirus-information.html
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4/12/2020FloridaAllwell Medicare HMO(Sunshine Health)Medicare Advantage99201-99215Video RequiredOffice or other outpatient visits
Does not specify
GT or 95Waived for Covid Onlyhttps://www.sunshinehealth.com/providers/coronavirus-information.html
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4/7/2020FloridaAvMed Medicare HMOMedicare Advantage99201-99215Video RequiredOffice or other outpatient visits295Only CoPay Waiverhttps://www.avmed.org/newshttps://www.avmed.org/documents/20182/4380806/Coronavirus+Response+%28Update%29_V3+%2804-06-2020%29.pdf/36be3cce-7ba7-4651-8a51-424d43aa3e8b
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4/7/2020FloridaAvMed Medicare HMOMedicare Advantage99441-99443Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11BlankOnly CoPay Waiverhttps://www.avmed.org/newshttps://www.avmed.org/documents/20182/4380806/Coronavirus+Response+%28Update%29_V3+%2804-06-2020%29.pdf/36be3cce-7ba7-4651-8a51-424d43aa3e8b
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4/7/2020FloridaAvMed Medicare HMOMedicare AdvantageG2012Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11BlankOnly CoPay Waiverhttps://www.avmed.org/newshttps://www.avmed.org/documents/20182/4380806/Coronavirus+Response+%28Update%29_V3+%2804-06-2020%29.pdf/36be3cce-7ba7-4651-8a51-424d43aa3e8b
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4/30/2020FloridaBCBS Florida CommercialCommercial99201-99215Video RequiredOffice or other outpatient visits2GT or 95Appliedhttps://www.floridablue.com//providers/archived-covid19-communications
https://www.floridablue.com/sites/floridablue.com/files/docs/COVID-19_Billing_Guidelines_04.28.20_Approved.pdf
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4/30/2020FloridaBCBS Florida CommercialCommecial99441-99443Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)2BlankFOR SAO group cost share will be waivedAppliedhttps://www.floridablue.com//providers/archived-covid19-communications
https://www.floridablue.com/sites/floridablue.com/files/docs/COVID-19_Billing_Guidelines_04.28.20_Approved.pdf
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4/30/2020FloridaFlorida Blue Medicare AdvantageMedicare advantage99201-99215Video RequiredOffice or other outpatient visits11GT or 95Appliedhttps://www.floridablue.com//providers/archived-covid19-communications
https://www.floridablue.com/sites/floridablue.com/files/docs/COVID-19_Billing_Guidelines_04.28.20_Approved.pdf
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4/30/2020FloridaFlorida Blue Medicare AdvantageMedicare advantage99441-99443Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11BlankAppliedhttps://www.floridablue.com//providers/archived-covid19-communications
https://www.floridablue.com/sites/floridablue.com/files/docs/COVID-19_Billing_Guidelines_04.28.20_Approved.pdf
84
4/12/2020FloridaCare Plus HMO (Care Free)Medicare Advantage99201-99215Video RequiredOffice or other outpatient visits1195Waivedhttps://www.careplushealthplans.com/careplus-providers/coronavirushttps://docushare-web.apps.cf.humana.com/Marketing/docushare-app?file=3921879
85
4/12/2020FloridaCare Plus HMO (Care Free)Medicare Advantage99441-99443Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11BlankWaivedhttps://www.careplushealthplans.com/careplus-providers/coronavirushttps://docushare-web.apps.cf.humana.com/Marketing/docushare-app?file=3921879
86
4/12/2020FloridaCare Plus HMO (Care Free)Medicare AdvantageG2012Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11BlankWaivedhttps://www.careplushealthplans.com/careplus-providers/coronavirushttps://docushare-web.apps.cf.humana.com/Marketing/docushare-app?file=3921879
87
4/12/2020FloridaDevoted Health Broward (HMO)Medicare Advantage99201-99215Video RequiredOffice or other outpatient visits1195Waivedhttps://www.devoted.com/providers/coronavirus-providers/https://devoted-health-2020.cdn.prismic.io/devoted-health-staging/c1eb372f-6c36-4988-839d-5a6f719754db_DH-Telehealth-Quick-Reference-Guide.pdf
88
4/12/2020FloridaDevoted Health Broward (HMO)Medicare Advantage99441-99443Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11BlankWaivedhttps://www.devoted.com/providers/coronavirus-providers/https://devoted-health-2020.cdn.prismic.io/devoted-health-staging/c1eb372f-6c36-4988-839d-5a6f719754db_DH-Telehealth-Quick-Reference-Guide.pdf
89
4/10/2020GeorgiaAmerivantage HMOMedicare Advantage99201-99215Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)295Waivedhttps://providers.amerigroup.com/pages/ga-2012.aspxhttps://providers.amerigroup.com/Public%20Documents/GAGA_CAID_PU_TalkingPointsCOVID19.pdf
90
5/25/2020GeorgiaAnthem BCBS CommercialCommercial99201-99215Video RequiredOffice or other outpatient visits2GT or 95Waivedhttps://providernews.anthem.com/georgia/article/information-from-anthem-for-care-providers-about-covid-19-4
91
5/25/2020GeorgiaAnthem BCBS CommercialCommercial99441-99443Telephone Call Allowed- Video Not RequiredOffice or other outpatient visits11BlankWaivedhttps://providernews.anthem.com/georgia/article/information-from-anthem-for-care-providers-about-covid-19-4
92
5/25/2020GeorgiaAnthem BCBS Medicare AdvantageMedicare Advantage99201-99215Video RequiredOffice or other outpatient visits2GT or 95Waivedhttps://www11.anthem.com/shared/noapplication/f0/s0/t0/pw_g397777.pdf?refer=ahpmedprovider
93
5/25/2020GeorgiaAnthem BCBS Medicare AdvantageMedicare Advantage99441-99443Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11BlankWaivedhttps://www11.anthem.com/shared/noapplication/f0/s0/t0/pw_g397777.pdf?refer=ahpmedprovider
94
5/1/2020HawaiiHMSA BCBSCommercial99201-99215Video RequiredOffice or other outpatient visits2GT or 95Waived
https://prc.hmsa.com/s/article/Coronavirus-Disease-2019-COVID-19
https://hmsa.my.salesforce.com/sfc/p/#1N000002CAOI/a/3m000000MOq8/4kHX_sqb7Uyf3vebDKvhTcsKrtXvA1.hV.yzOiO3pzw
95
5/1/2020HawaiiHMSA BCBSCommercial99441-99443Telephone Call Allowed- Video Not RequiredOffice or other outpatient visits11BlankWaived
http://www.pbtrc.org/wp-content/uploads/2020/03/HMSA-Provider-FAQs-Telehealth-during-COVID-19.pdf
https://hmsa.my.salesforce.com/sfc/p/#1N000002CAOI/a/3m000000MOq8/4kHX_sqb7Uyf3vebDKvhTcsKrtXvA1.hV.yzOiO3pzw
96
5/1/2020HawaiiHMSA BCBSCommercialG2012Telephone Call Allowed- Video Not RequiredTelephonic Encounter (Virtual Checks in)11BlankWaived
https://prc.hmsa.com/s/article/Coronavirus-Disease-2019-COVID-19?r=250&ui-knowledge-components-aura-actions.KnowledgeArticleVersionCreateDraftFromOnlineAction.createDraftFromOnlineArticle=1&ui-force-components-controllers-recordGlobalValueProvider.RecordGvp.getRecord=1
97
5/1/2020HawaiiHMSA BCBS Medicare advantageMedicare advantage99201-99215Video RequiredOffice or other outpatient visits2GT or 95Waived
https://prc.hmsa.com/s/article/Coronavirus-Disease-2019-COVID-19?r=250&ui-knowledge-components-aura-actions.KnowledgeArticleVersionCreateDraftFromOnlineAction.createDraftFromOnlineArticle=1&ui-force-components-controllers-recordGlobalValueProvider.RecordGvp.getRecord=1
https://hmsa.my.salesforce.com/sfc/p/#1N000002CAOI/a/3m000000MOq8/4kHX_sqb7Uyf3vebDKvhTcsKrtXvA1.hV.yzOiO3pzw
98
5/1/2020HawaiiHMSA BCBS Medicare advantageMedicare advantage99441-99443Telephone Call Allowed- Video Not RequiredOffice or other outpatient visits11BlankWaived
https://prc.hmsa.com/s/article/Coronavirus-Disease-2019-COVID-19?r=250&ui-knowledge-components-aura-actions.KnowledgeArticleVersionCreateDraftFromOnlineAction.createDraftFromOnlineArticle=1&ui-force-components-controllers-recordGlobalValueProvider.RecordGvp.getRecord=1
https://hmsa.my.salesforce.com/sfc/p/#1N000002CAOI/a/3m000000MOq8/4kHX_sqb7Uyf3vebDKvhTcsKrtXvA1.hV.yzOiO3pzw
99
5/1/2020HawaiiHMSA BCBS Medicare advantageeMedicare advantageG2012Telephone Call Allowed- Video Not RequiredOffice or other outpatient visits11BlankWaived
https://prc.hmsa.com/s/article/Coronavirus-Disease-2019-COVID-19?r=250&ui-knowledge-components-aura-actions.KnowledgeArticleVersionCreateDraftFromOnlineAction.createDraftFromOnlineArticle=1&ui-force-components-controllers-recordGlobalValueProvider.RecordGvp.getRecord=1
https://hmsa.my.salesforce.com/sfc/p/#1N000002CAOI/a/3m000000MOq8/4kHX_sqb7Uyf3vebDKvhTcsKrtXvA1.hV.yzOiO3pzw
100
5/1/2020IdahoBlue Cross of IdahoCommercial99201-99215Telephone Call Allowed- Video Not RequiredOffice or other outpatient visits2GT or 95Waived
https://providers.bcidaho.com/coronavirus-updates.page
https://providers.bcidaho.com/resources/pdfs/providers/Announcements/042720-Coronavirus-FAQ.pdf
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