Empire Blue Cross Blue Shield Double-Copay Issue


In response to member reports, NYSPA recently contacted Empire BlueCross BlueShield to inquire about double co-pays being charged to patients in connection with claims for the new psychotherapy add-on CPT codes.  In our letter, we pointed out that the new combination codes represent a single patient service and should generate only one co-pay per date of service.  Click here to view a copy of Empire's response indicating that the double co-pays were the result of a computer processing error and that all affected claims will be re-processed.  Please contact NYSPA Central Office if you or your patients continue to have problems in this regard.