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BlueCross BlueShield of Texas
   
         
     
 
What's New
Electronic Refund Management (eRM) - November & December Webinars
Untimed Billing Procedure CPT Codes - Update
Calling us for claim status?
Preparing for ANSI 5010 and ICD-10
Formulary Changes 2010 to 2011
Availity Participating Provider Training Webinars - November 2010
Modifer 22 Submission Tips
Behavioral Health Program Changes Eff 01/2011
Multiple Surgery Pricing Per Session Methodology - Update


Fee Schedule Update

The ParPlan, BlueChoice® and HMO Blue® Texas (Independent Provider Network only) maximum allowable fees for practitioners will be updated to reflect 2009 relative values effective August 15, 2009.  Geographic Practice Cost Indices (GPCIs) will not be applied to the relative values so the relative values will not differ by Medicare locality.  HMO Blue Texas, BlueChoice and ParPlan relative values will consider the site of service where the service is performed (facility or non-facility).  The Drug/Injectable Fee Schedule will be updated on the following dates:  6/1/2009, 9/1/2009, 12/1/2009, 3/1/2010 and 6/1/2010. 

Blue Cross and Blue Shield of Texas provides general reimbursement information policies, request forms for allowable fees and fee schedule information at www.bcbstx.com/provider.  To view this information, visit the General Reimbursement Information section on this Web site.  If you would like to request a sample of maximum allowable fees or if you have any other questions, please contact your local Professional Provider Network office.      

Reimbursement changes will be posted under "Reimbursement Changes and Updates" in the Professional Reimbursement Schedules section on the Web site.  The changes will not become effective until at least 90 days from the posting date. The specific effective date will be noted for each change that is posted.


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