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How to : Telehealth When The Place of Service Needs to be "11"

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  • Junko Davis

    Hello, 

    I was searching for some insights on what modifier to use for telephonic sessions (audio only) and came across your post. My post is not to provide you any help (I'm sorry! I don't know the answer. You might have already done it but I'd suggest you email and ask SP support. Hope you were able to find some help by now!) but I wanted to make a comment.

    We use "02" for a POS code with a 95 modifier for telehealth appointments and so far all of the claims with different BCBS plans have been paid with the same reimbursement rate as in-office visits as long as that is the client's policy. We are in GA and we submit claims to our local BCBS. Our providers are licensed professional counselors. This might have to do with what state you are in. 

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  • Ayelette

    Hi Erin and Junko,

    We apologize for the delay in replying to this post. Your questions may already have been answered by our team, however here is some information for everyone's reference:

    When you create claims and superbills, the Insurance place of service that is listed on these documents will be the Insurance place of service listed in the office's profile, for the location listed in the appointment's details on your Calendar.

    Here's how you can update the Insurance place of service for a location:

    1. Go to Settings > My Practice > Location > click Edit next to the office you'd like to update.
    2. At the bottom of the flyout, update the Insurance Place of Service as needed.
    3. Click Save.

    To have a particular location be the default location for a client:

    1. On the client's profile, click Edit.
    2. On the Client Info tab, update the default Location as needed.
    3. Click Save Client.

    Note that updating a client's default location will update the location on appointments created after you make this update. The location will not retroactively update on appointments that have already been created. If you have a recurring appointment series for a client, I recommend deleting and recreating the future appointments to capture the location update.

    Finally, for future reference, although we're periodically monitoring the Community Forum, this is also a place for customers to exchange ideas and engage with one another on how to best use our platform, and we appreciate you acting as resources for one other. The quickest way to get support for account-specific questions is to send us a help request by clicking the blue question mark > Get Help option on the lower right of your SimplePractice account. For more details, feel free to check out this Help Center guide: Logging in to SimplePractice and submitting help requests. You can also reach us on our Live Chat feature, offered Monday - Friday, 6am - 7pm PT with a few exceptions for company meetings (you can view the full Live Chat details here).

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