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GY Modifier - BCBS

Kay Defries 3 years ago in Industry News/Discussion updated 3 years ago 4

BCBS claims there was a provider bulletin in November that indicated in 2017 we could no longer get paid for billing a secondary BCBS with a GY modifier when the primary was not covering the provider as well. We can find nothing on this and BCBS could not produce a copy of it. Does anyone have info on this change?

I keep all my provider bulletins and did not find any from November about this topic.

I looked in November 2016 Provider Bulletin's and only found this one regarding an "EY Modifier" from December 2016.

https://www.bluecrossmn.com/healthy/public/portalcomponents/PublicContentServlet?contentId=P11GA_15584054

Other than that, I have not heard of any changes with the GY modifier.

We will continue to bill with the GY modifier!!