8/2/2022
Bright HealthCare has identified an error in the administration of the In-Office Laboratory Testing payment policy. This is improperly causing the blood draw codes, including CPT 36415, and certain laboratory test codes in the 80000 series to be denied incorrectly when billed with the office place of service (POS 11).
Bright HealthCare has identified a remedy and a timeline for correcting the claims that were incorrectly processed. There is no need to submit a claim appeal or provider dispute as they will correct the affected claims and claim lines.
An update will be provided as more information becomes available.
Bright HealthCare’s most recent policy regarding In-Office-Laboratory Testing can be located at brighthealthcare.com/provider/resources under Find New Polices and FAQs here: In Office Laboratory Testing Payment Policy.