08/11/2023
When completing claims for infertility services rendered to a surrogate or from a donor, please indicate the recipient on the claim form. Coverage for surrogates and donors may vary by plan. Inclusion of the recipient information on submitted claims will help us to expedite the proper processing of claims for these services, this applies to professional and facility claims.
How to indicate recipient: Simply add “surrogate” or “donor” to the comments or notes field on the claim form. For example:
- On the UB-04 form, add “surrogate” or “donor” to Form Field 80 Remarks
- On the CMS-1500 claim form, add “surrogate” or “donor” to Form Field 19 Additional Claim Information.
Check eligibility and benefits: To ensure surrogate and donor services are covered, check eligibility and benefits first through Availity® Essentials or your preferred vendor portal, prior to rendering services.
Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSTX. BCBSTX makes no endorsement, representations or warranties regarding any products or services provided by third party vendors.