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Important Notice to Providers about Billing for Coronavirus (COVID-19) Services

Effective March 16, 2020, UniCare is covering services to test, diagnose and treat COVID-19 at no member cost share, to remove barriers to treatment, and also expanding access to telehealth services to prevent the spread of the virus.

These changes are effective for dates of service starting March 16, 2020, until further notice. It applies to all providers and members nationwide.

What you should know about billing and reimbursement for COVID-19 related services

For telehealth visits (virtual, audio only, or telephonic)
For all telehealth services including primary care, specialty care and behavioral health visits, UniCare will reimburse providers up to the same rate as the in-person reimbursement rate. There is no member cost share (copays, coinsurance or deductible) for telehealth visits for COVID-19 services when billed with these diagnosis codes. If services are billed with any other diagnosis codes, standard member cost sharing will apply.

To ensure proper reimbursement you must use the following coding:

Lab testing for COVID-19
There is no member cost share for lab testing for COVID-19. Providers should use the following codes to identify COVID-19 testing:

If lab services are billed with any other diagnosis codes, standard member cost sharing will apply.

Visits in the office, at an urgent care center, or in an emergency room for COVID-19
There is no member cost share for the following COVID-19 services when billed with these diagnosis codes. If services are billed with any other diagnosis codes, standard member cost sharing will apply. 

Appropriate guidelines to deliver medically necessary health services via telehealth



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