Modifier Policies Effective May 1, 2014

Effective May 1, 2014, Horizon Blue Cross Blue Shield of New Jersey will implement changes to our policies and procedures regarding the reimbursement of claims appended with modifiers 52, 53, 54, 55, 56 and 73.

Claims for services provided on and after May 1, 2014 to members enrolled in any Horizon BCBSNJ plan will be processed and reimbursed according to our modifier reimbursement policies listed below:

Modifier 52 Reimbursement Policy

Modifier 53 Reimbursement Policy

Modifier 54 Reimbursement Policy

Modifier 55 Reimbursement Policy

Modifier 56 Reimbursement Policy

Modifier 73 Reimbursement Policy

If you have questions, please call Physician Services at 1-800-624-1110 , Monday through Friday between 8 a.m. and 5 p.m., Eastern Time.