OSP News

2020 Updated Member Reported Services for Blue Care Network and Blue Cross and Blue Shield

Posted: 06/25/2020

The following services can be reported by the member:

  • Mammogram
  • Mastectomy
  • Colonoscopy
  • Hysterectomy -total, complete radical or no residual cervix. Will also accept documentation that hysterectomy was done and that this member no longer needs cervical cancer screening.
  • Pap Smear/HPV -must have result.

Must document the date with the service and result if needed in the history section, surgical history section or health maintenance history section in the medical record. The date will not count if documented in the chief complaint section.

Member states test or procedure done in 2018 -document service done 1/1/2018. Member says March 2018 -document service done 3/1/2018.

Member had test done at 48 years old. Enter the date for the last day that the member was 48 years old (the day before their 49th birthday).

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