Blue Review
A newsletter for physician, professional, facility, ancillary and Medicaid providers

September 2016

Reminder: Use the Correct ‘Place of Service’ Codes When Billing

Blue Cross and Blue Shield of Texas (BCBSTX) would like to remind all providers to bill with the correct, “original place of service” codes when billing for all services. Billing with the valid place of service is very important and allows claims to be adjudicated more efficiently.

Patient eligibility and benefits should be checked prior to every scheduled appointment. Eligibility and benefit quotes include membership validation, coverage status and other important information, such as applicable copayment, coinsurance and deductible amounts. It’s strongly recommended that providers ask to see the member’s ID card for current information and photo ID to guard against medical identity theft. When services may not be covered, members should be notified that they may be billed directly.