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Carefirst telemed

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Services for diagnosis, consultation or treatment provided through telemedicine must meet all the requirements of a face-to-face consultation or contact between a licensed health care provider and a patient consistent with the provider's scope of practice for services appropriately provided through telemedicine services. If the claim is to evaluate a member for coronavirus, use diagnosis code Z If you are treating a member with confirmed coronavirus use diagnosis code B Utilization review may be performed.

Documentation in the medical record must support the services rendered. If you are currently not set up to conduct telemedicine, you can use a commercially available platform to conduct telemedicine visits. Guidance and frequently asked questions can be found on their website. Providers are encouraged not to collect member cost sharing for these services.

If a member does owe a copay or coinsurance after the claim is processed, you can bill the member as you do for all other claims. We understand the use of telemedicine is a practical option for members who wish to or should stay home. We selected these codes as check-ins for all phone visits, regardless of the amount of time. We are also partnering closely with our self-insured customers to implement similar measures. Due to a change in D. Non-physician providers should use CPT codes , or Phone consultations are not reimbursable.

The Act expands the definition of telehealth to include audio-only calls, which result in the appropriate delivery of a billable, covered health care service. The mandate expands telehealth coverage to all professional provider types including dentists , but not all procedures. This mandate expires June 30, Audio-only teledentistry is covered when the patient is unable to participate in an in-person or audiovisual visit in lieu of an in-person office visit.

If you and your patient determine that an office visit with you is necessary to resolve the problem, the in-person evaluation at your office on the same date of service will be considered inclusive to the telemedicine evaluation completed earlier in the day.

One evaluation will be covered per patient per date of service. For problem-focused telemedicine evaluations, please submit the appropriate code, D or D and your usual fee. CareFirst BlueCross BlueShield Medicare Advantage will cover telemedicine services with in-network primary care providers PCPs , specialists, behavioral health providers and other selected providers. Patient Services. Wellness Services. Physical Examinations. X-Ray Services. Injury Treatment. Illness Treatment.

Cincinnati, OH. Las Vegas, NV. Westerville, OH. Meet with a provider via telemedicine It's not always convenient to walk-in to any of our 38 clinics. Schedule a Virtual Appointment. Get the care you need from your home CareFirst Urgent Care offers telemedicine services for patients who are unable to visit our clinic or would prefer to stay at home while seeking care. How it works. How it works Scheduling a telemedicine appointment with CareFirst Urgent Care is an easy and convenient process.

Request a telemedicine appointment by clicking here. When the new window opens, select "Telemedicine" under "Reason for visit" and complete the form. Then, fill out the registration forms you receive in a text message. Upload images of your identification and insurance card if you are paying with insurance. Complete all questions. If you have any questions please call the phone number displayed on the ClockwiseMD page.

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In Virginia, CareFirst BlueCross BlueShield, CareFirst MedPlus, and CareFirst Diversified Benefits are the business names of First Care, Inc. of Maryland (used in VA by: First Care, Missing: telemed. In Virginia, CareFirst BlueCross BlueShield, CareFirst MedPlus, and CareFirst Diversified Benefits are the business names of First Care, Inc. of Maryland (used in VA by: First Care, Inc.). The . Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group .