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Important information for professional providers

May 2, 2017

Effective for dates of service on or after August 1, 2017, Independence Blue Cross and its affiliates (Independence) will be making the following changes:

  • updating the standard medical and drug fee schedules for professional providers;
  • amending the Professional Provider Agreement to conform with contract language changes to our standard form Professional Provider Agreement.

To the extent that you are affected by these changes, Independence mailed a postcard on May 1, 2017.

Resources

We have published resources related to the changes listed above on the NaviNet® web portal, including:

  • a sampling of rates from the standard medical fee schedule based on the CPT® codes most frequently billed by specialty;
  • drug fee schedule (note that the drug fee schedule will be updated again in July to reflect the most current drug pricing);
  • amendment to your Professional Provider Agreement, as applicable.

To access these documents, go to Independence NaviNet Plan Central and select Fee Schedules on the right-hand side under Provider Tools.

If you have any questions after reviewing the above documents, please email us. Be sure to include your name, contact number, and provider ID number.

Note: This information does not apply to providers contracted with Magellan Healthcare, Inc., an independent company.

NaviNet is a registered trademark of NaviNet, Inc., an independent company.

CPT copyright 2016 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

Magellan Healthcare, Inc. manages mental health and substance abuse benefits for most Independence members.


This content was prepared for the Provider News Center and may not be reproduced in any way without the express written permission of Independence Blue Cross. Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association.
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Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia and southeastern Pennsylvania.