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Federal BCBS
Hello,
We are continually having problems with getting paid by Federal BCBS plans for residential treatment with room & board. Do any of you providers bill this payer and what codes are you using?
Servicio de atención al cliente por UserEcho
I believe that you do not use the 0120 add-on code for federal plans. Only send the one line with the 1001 code for Residential Tx with R&B. I believe the payment is inclusive.
Check your per diem and try that to see if it passes through the Electronic Module. We've had this issue before.
I am in North Dakota. For us, I can't submit Federal BS claims like I do for regular BS. We use the 1001 without a procedure code for days the client is present and 0180 for leave days.