Payment Policy Updates from August 2023

  • September 7, 2023

    Modifier 90 – Reference (Outside) Laboratory

    Effective with claim dates of service on and after December 11, 2023, facility claims will be subject to the policy criteria. Outside reference labs will need to bill Premera directly and append Modifier 90 to identify these services as referred lab tests.

    Consultation Code Services

    Effective with claim dates of service on and after December 11, 2023, Alaska providers will be subject to this policy criteria.

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