Dear Provider,
Late yesterday, BCBSNC informed HNS that it does not intend to exempt chiropractors from the requirement (effective 11/1/2024) to obtain prior authorization for physical therapy codes billed to fully insured plans.
Westronglydisagree with BCBSNC’s decision, and like you, are frustrated and disappointed in this outcome. We maintain our position that HNS providers should be exempt from this requirement. However, we are now working to obtain additional information that will be necessary for you to comply with and navigate this new requirement.
As we learn more pertinent information, we will continue to share it with you.
In the meantime, please refrain from asking your HNS Service Representative questions about this new PA requirement. They are busy working on your other inquiries, and currently, have no additional information to share about it.
Sincerely,
HNS