Dear Provider,
As some of you may have seen, BCBSNC recently posted a notice on its website containing additional detail about its requirement (effective 11/01/2024) that all providers obtain prior authorization for most Physical Therapy codes billed to fully insured plans.
For your convenience, you may find the notice by clicking the following link:
Changes in prior authorization for Blue Cross NC outpatient therapy requests effective November 1.
Importantly, HNS remains in constant communication with BCBSNC concerning our request to exempt HNS providers from this requirement, which remains under consideration. However, because the outcome is uncertain, we did want to share a link to the above notice as soon as possible.
Finally, after reviewing the notice, you may likely have more questions, as does HNS. Thus, while we are advocating for HNS providers to be exempt, please know that we are also seeking additional detail about the new requirement and will continue to share pertinent information with you.
Sincerely,
HNS