Place of Service 23 System Enhancement

July 27, 2011

For services provided in a hospital emergency room, place of service 23 is utilized when filing the claim to Blue Cross and Blue Shield of Texas (BCBSTX).  The claims with place of service 23 should reimburse at the Facility Relative Value Unit (RVU); however, that was not occurring on BlueCard or Out-of-State members.  For claims processed on or after August 1, 2011, the BCBSTX system will be enhanced to include logic to adjudicate BlueCard claims filed with place of service 23 to recognize the place of service and pay appropriately based on the Facility Relative Value Unit.