Alert: Therapy Providers (Occupational, Physical, and Speech) Billing Guideline

09/18/2024

Important Information

Effective immediately Blue Cross and Blue Shield of Texas Medicaid, would like to provide guidance when submitting claims for our therapy providers only. When the billing provider and the rendering provider are the same for services performed, you must only fill out the “Billing Provider” section which are Boxes 33, 33a, and 33b. Do not enter information in the “Rendering Provider” (Box 24J).

IF you enter information in both Rendering Provider (Box 24J) and Billing Provider (Box 33, 33a, and 33b), your claims will deny, and you’ll be responsible for submitting a corrected claim within timely filing guidelines.  

Questions

Providers, for questions or additional information, please: