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Instructions for Completing the Provider Information Change Request Form It's important to let BCB SIL know whenever any of your practice information changes so that we can update your provider record.
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Claims may be submitted one-at-a-time by entering information directly into an online claim form on the vendor portal; or batch claims may be submitted via your Practice Management System (check with your software vendor to ensure compatibility).
Providers with general questions about IMPACT or provider enrollment may email IMPACT Help or call 877-782-5565 (select option #1).
What is the difference between modifier GT and 95? Modifier 95 is like GT in use cases, but unlike GT there are limits to the codes that it can be appended. Modifier 95 was introduced in January 2017, and it is one of the newest additions to the telemedicine billing landscape.
the Payer ID is MCDIL. To identify the payer on the CMS-1500, select “Other,” rather than “Medicare” or “Medicaid” in field 1. For the Insured's ID Number, use the member ID exactly as it appears on the member's BCBSIL ID card, including the alpha prefix (XOG).
Submit professional telehealth service claims using the appropriate CPT or HCPCS code. If you performed telehealth services through an asynchronous telecommunications system, add the telehealth GQ modifier with the professional service CPT or HCPCS code (for example, 99201 GQ).
Modifiers G0, GT and 95 are used to describe a telemedicine service and telehealth service. The appropriate modifiers must be appended to the HCPCS or CPT code when the telehealth or telemedicine claims are submitted. Note: If a claim is submitted using a telemedicine procedure code, the modifier is not necessary.

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NetOps Provider Update BSBSIL is a form that needs to be filled out by network operations providers to update their information in the BSBSIL database.
All network operations providers are required to file the NetOps Provider Update BSBSIL form to update their information.
To fill out the NetOps Provider Update BSBSIL form, you need to provide your updated information in the specified fields, including your contact details, network infrastructure information, and any changes to your operational practices.
The purpose of the NetOps Provider Update BSBSIL form is to ensure that the BSBSIL database contains accurate and up-to-date information about network operations providers, which is essential for the smooth functioning of the network.
The NetOps Provider Update BSBSIL form requires you to report your updated contact information, network infrastructure details, and any changes to your operational practices.
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