Tip of the Week – August 1-5, 2016
The effective date for the new Premera Blue Cross medical policy for Oral Appliances for Obstructive Sleep Apnea (OSA) has been pushed back yet again! Currently, it is listed to go into effect on November 1, 2016 so we wanted to make sure you are aware of the changes!
For custom made oral appliances, the new policy states:
“Custom Fabricated (E0486)
For custom molded and fabricated oral appliances the following criteria must be met:
Custom-made intraoral appliances may be considered dentally/medically necessary as an alternative to a prefabricated intraoral appliance, when the following criteria are met:
For pre-fabricated oral appliances, the updated policy states:
For individually fitted, ready-made oral appliances the following criteria must be met:
For dates of service prior to November 1, 2016, you can view the current policy below:
Premera Blue Cross lists the following e-mail address on their website for questions regarding medical policies: email@example.com
Want to learn more about Crosscoding from dental to medical insurance? We have wonderful courses scheduled throughout the country all year for Successful Medical billing in Dentistry, CBCT, sleep apnea appliances, oral surgery and TMD! You can view our full course schedule with more details below:
Please let us know if you have any questions at 1-800-879-6468, or firstname.lastname@example.org.