Telehealth/Telemedicine Services

Telehealth/Telemedicine Services

Various payers have different rules for billing telehealth services, and this article is a collection of the best information that we know about them. If you have information that isn't here please let us know and we will add it. All payers require that you select "Telehealth" for the Setting on a chart item, which will submit the resulting claim with a Place of Service Code 02. Some payers require a special modifier be used to designate telehealth services, and in ChartCaddy that means that you have to use "Telemedicine" services. Most payers have special rules during the COVID19 crisis, and this article will be updated once things return to normal.

Aetna

The short version is you need to use "Telemedicine" services.

BlueCross/BlueShield

The short version is you need to use "Telemedicine" services.

Cigna

The short version is you need to use "Telemedicine" services.

HealthChoice

Policy information can be found here but the short version is you need to use "Telemedicine" services.

Insure OK/OEPIC/OK EPIC

The short version is you need to use "Telemedicine" services.

Medicare

It's complicated, read this.

OJA/JOLTS

You need to use normal services.

OKHCA/ODMHSAS

The Oklahoma Health Care Authority has a dedicated help article for billing telehealth service but the short version is you need to use "Telemedicine" services. We are waiting to hear back for information on OK-EPIC/InsureOK.

Optum/United Healthcare

Policy information can be found here but the short version is you need to use normal services.

Tricare/Humana

Policy information can be found here but the short version is you need to use "Telemedicine" services.