![]() Refer to the Member's plan of benefits or Certificate of Coverage to determine whether coverage is provided or if there are any exclusions or benefit limitations applicable to any of these policies. Certain CPCPs may not be applicable to Self-Funded Members and certain insured products.BCBSTX reserves the right to modify a CPCP at any time by publishing a new version. CPCPs are neither intended to address every aspect of a reimbursement situation nor cover all issues related to reimbursement for services rendered to Blue Cross and Blue Shield of Texas enrollees.CPCPs are not intended to provide billing or coding advice but to serve as a reference for facilities and providers.1, 2021.Ĭlinical payment and coding policies (CPCPs) are based on criteria developed using healthcare professionals and industry standard guidelines. Refer to Telemedicine and Telehealth Services for additional information related to telehealth coverage effective Jan. Refer to the COVID-19 Preparedness page for temporary information related to servicing members in response to COVID-19.
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