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Important information for professional providers

June 1, 2018

Effective for dates of service on or after September 1, 2018, Independence Blue Cross and its affiliates (Independence) will be making the following changes:

  • updating the standard medical and drug fee schedules for professional providers;
  • amending the Professional Provider Agreement to conform with contract language changes to our standard form Professional Provider Agreement.

To the extent that you are affected by these changes, Independence notified you via a postcard on June 1, 2018.

Resources

We have posted the following resources related to the changes listed above on the NaviNet? web portal:

  • sample standard medical fee schedules (primary care physician and specialist) based on the most commonly billed CPT? codes by specialty;
  • standard professional drug, injectable, and vaccine fee schedule;
  • Fee Schedule and Advisory Amendment to your Independence Professional Provider Agreement, as applicable.

To access these documents, go to Independence NaviNet Plan Central and select Resources from the Workflows menu.

If you have questions related to these changes, please email us at the appropriate address ? pcprequests@ibx.com or specialistsrequests@ibx.com ? with the subject line ?Professional Fee Schedule updates.? Make sure to include the practice name, NPI number, and your contact information. You will receive a response within five business days.

Note: This information does not apply to providers contracted with Magellan Healthcare, Inc., an independent company.

NaviNet is a registered trademark of NaviNet, Inc., an independent company.

CPT Copyright 2017 American Medical Association. All rights reserved. CPT? is a registered trademark of the American Medical Association.

Magellan Healthcare, Inc. manages mental health and substance abuse benefits for most Independence members.


This content was prepared for the Provider News Center and may not be reproduced in any way without the express written permission of Independence Blue Cross. Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association.
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Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia and southeastern Pennsylvania.